Provider Demographics
NPI:1376967836
Name:AUBELE, MARTHA
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:AUBELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARTI
Other - Middle Name:
Other - Last Name:AUBELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1305 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-3304
Mailing Address - Country:US
Mailing Address - Phone:360-718-7540
Mailing Address - Fax:360-723-5142
Practice Address - Street 1:1305 SW 37TH ST
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-3304
Practice Address - Country:US
Practice Address - Phone:360-718-7540
Practice Address - Fax:360-723-5142
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00167777163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse