Provider Demographics
NPI:1629390802
Name:ATKINSON, MARTHA A (CRNFA)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:A
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-1431
Mailing Address - Country:US
Mailing Address - Phone:888-313-5258
Mailing Address - Fax:205-313-5245
Practice Address - Street 1:801 E. 6TH STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3663
Practice Address - Country:US
Practice Address - Phone:850-763-6224
Practice Address - Fax:850-872-1623
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1736292163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical