Provider Demographics
NPI:1003157348
Name:AUHL, HERMAN MARTIN (RN)
Entity Type:Individual
Prefix:
First Name:HERMAN
Middle Name:MARTIN
Last Name:AUHL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 N IMPERIAL AVE
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-1739
Mailing Address - Country:US
Mailing Address - Phone:760-562-8314
Mailing Address - Fax:760-353-8642
Practice Address - Street 1:1115 N IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-1739
Practice Address - Country:US
Practice Address - Phone:760-562-8314
Practice Address - Fax:760-353-8642
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA646009163WC0200X
VA1173394163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine