Cunanan, Martin Dwight

Cunanan, Martin Dwight is an sole proprietor health care provider with primary practice located at 100 Bush St Ste 1428 , San Francisco CA 94104-3916. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Cunanan, Martin Dwight can be contacted via phone (415) 843-1523.

Contact Information

Primary practice address
100 Bush St Ste 1428 San Francisco CA 94104-3916
Phone: (415) 843-1523
Fax: (415) 484-7083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95003125 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95003125 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 202203363NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202203889NP-PP Oregon

Profile Details

NPI number 1437528858
LBN Legal business name Cunanan, Martin Dwight
Credentials AGNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2015
Last updated Jul 7th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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