Provider Demographics
NPI:1023450590
Name:KAUFMAN, MARTA ANNETTE (RN, MSN)
Entity type:Individual
Prefix:MS
First Name:MARTA
Middle Name:ANNETTE
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 ROSEBAY DR
Mailing Address - Street 2:10
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3333
Mailing Address - Country:US
Mailing Address - Phone:760-942-7201
Mailing Address - Fax:
Practice Address - Street 1:155 ROSEBAY DR
Practice Address - Street 2:10
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3333
Practice Address - Country:US
Practice Address - Phone:760-942-7201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA521145163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse