Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariah Nicole Martin

Individual provider Family Nurse Practitioner · NPI 1093695108

Mariah Nicole Martin is a Family Nurse Practitioner in Palmdale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

627 W Avenue Q Ste D
Palmdale, CA 93551-3891
Phone: (661) 272-5656
Fax: (661) 272-0909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95117432 (CA)

Record details

NPI number1093695108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

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