Provider Demographics
NPI:1407007495
Name:EULE, MARTA D (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:D
Last Name:EULE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:D
Other - Last Name:EULE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-FNP,BC
Mailing Address - Street 1:9401 SW DISCOVERY WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987-2381
Mailing Address - Country:US
Mailing Address - Phone:772-834-7362
Mailing Address - Fax:772-618-2024
Practice Address - Street 1:9401 SW DISCOVERY WAY STE 102
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34987-2381
Practice Address - Country:US
Practice Address - Phone:772-834-7362
Practice Address - Fax:772-618-2024
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN3028022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily