Provider Demographics
NPI:1093085813
Name:EUERLE, MARTINA SANCHEZ (R N)
Entity Type:Individual
Prefix:MS
First Name:MARTINA
Middle Name:SANCHEZ
Last Name:EUERLE
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16755 608TH AVE
Mailing Address - Street 2:16755-608TH AVE.
Mailing Address - City:LITCHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55355-7108
Mailing Address - Country:US
Mailing Address - Phone:320-221-0058
Mailing Address - Fax:
Practice Address - Street 1:16755 608TH AVE
Practice Address - Street 2:16755-608TH AVE.
Practice Address - City:LITCHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55355-7108
Practice Address - Country:US
Practice Address - Phone:320-221-0058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR183524-5163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse