Doctor Name: | PAULA RAE MARTENSON |
NPI Number: | 1629204425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, PHN |
License Number: | R 133872-6 |
Business Practice Address: | 118 N Main Ave Box 99 New York Mills, MN - 56567 |
Business Phone Number: | 2183855503 |
Business Fax Number: | 2183853852 |
Mailing Address: | 560 W Fir Ave, FERGUS FALLS |
State: | MN |
Postal Code: | 565371364 |
Phone Number: | 2183855503 |
Fax Number: | 2183853852 |
NPI Enumeration Date: | 06/08/2009 |
NPI Last Update Date: | 06/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | R 133872-6 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |