Provider Demographics
NPI:1578963724
Name:RAMBIN, MARTHA (RN)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:RAMBIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 JK RAMBIN RD
Mailing Address - Street 2:
Mailing Address - City:PELICAN
Mailing Address - State:LA
Mailing Address - Zip Code:71063-3160
Mailing Address - Country:US
Mailing Address - Phone:318-755-2298
Mailing Address - Fax:
Practice Address - Street 1:113 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:LA
Practice Address - Zip Code:71052-2601
Practice Address - Country:US
Practice Address - Phone:318-872-0472
Practice Address - Fax:318-872-2220
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN035827163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health