Provider Demographics
NPI:1003639485
Name:MARTINSON, SARAH JEAN (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:MARTINSON
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 1:515 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MAHNOMEN
Mailing Address - State:MN
Mailing Address - Zip Code:56557-5000
Mailing Address - Country:US
Mailing Address - Phone:218-986-6336
Mailing Address - Fax:
Practice Address - Street 1:515 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MAHNOMEN
Practice Address - State:MN
Practice Address - Zip Code:56557-5000
Practice Address - Country:US
Practice Address - Phone:218-986-6336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2361242163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health