Provider Demographics
NPI:1427034214
Name:SCHLENKER, MARTHA JANE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:JANE
Last Name:SCHLENKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12710 VOYAGER PKWY
Mailing Address - Street 2:NORTH BUILDING
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3747
Mailing Address - Country:US
Mailing Address - Phone:719-432-0725
Mailing Address - Fax:719-432-0722
Practice Address - Street 1:12710 VOYAGER PKWY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3747
Practice Address - Country:US
Practice Address - Phone:719-432-0725
Practice Address - Fax:719-432-0722
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO114442363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health