Provider Demographics
NPI:1497908263
Name:MOHLER, MARTHA JANE (RN,MPH,PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:JANE
Last Name:MOHLER
Suffix:
Gender:F
Credentials:RN,MPH,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3417
Mailing Address - Country:US
Mailing Address - Phone:520-250-4108
Mailing Address - Fax:
Practice Address - Street 1:1807 EAST ELM STREET
Practice Address - Street 2:UNIVERSITY OF ARIZONA CENTER ON AGING
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-4324
Practice Address - Country:US
Practice Address - Phone:520-626-5807
Practice Address - Fax:520-626-5801
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN236066163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse