Provider Demographics
NPI:1396028429
Name:LEVIN, MARTHA CAROL (RN MS CNS)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:CAROL
Last Name:LEVIN
Suffix:
Gender:F
Credentials:RN MS CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 TIFFANY CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1823
Mailing Address - Country:US
Mailing Address - Phone:240-543-4442
Mailing Address - Fax:
Practice Address - Street 1:740 TIFFANY CT
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1823
Practice Address - Country:US
Practice Address - Phone:240-543-4442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR071644163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse