MEDICARE: MARTIN PHILIP MAGUIRE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95308893	CA

General Provider Information

NPI Number	:	1750088951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN PHILIP MAGUIRE RN

Provider Business Mailing Address
First Line	:	2169 15TH ST APT B
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1398
Country	:	US
Telephone Number	:	415-712-3001
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 MIRANDA AVE
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94304-1207
Country	:	US
Telephone Number	:	650-493-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2023
Last Update Date	:	05/10/2026

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