Provider Demographics
NPI:1710256623
Name:MARTINEZ, JANA (CPD (NAPS))
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:CPD (NAPS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 NW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-2325
Mailing Address - Country:US
Mailing Address - Phone:206-650-5157
Mailing Address - Fax:
Practice Address - Street 1:1223 NW 95TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-2325
Practice Address - Country:US
Practice Address - Phone:206-650-5157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603075805374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula