Provider Demographics
NPI:1780250852
Name:ERSKINE, MARTYNA ANNA (FNP)
Entity type:Individual
Prefix:
First Name:MARTYNA
Middle Name:ANNA
Last Name:ERSKINE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARTYNA
Other - Middle Name:ANNA
Other - Last Name:ZDANIUKIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:838 G ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-6421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:838 G ST STE 201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-6421
Practice Address - Country:US
Practice Address - Phone:858-609-0866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily