Provider Demographics
NPI:1811523269
Name:MARTIN, MARGARET L (PHD, RN)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:L
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 FILBERT ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-3413
Mailing Address - Country:US
Mailing Address - Phone:415-218-6103
Mailing Address - Fax:
Practice Address - Street 1:2150 FILBERT ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-3413
Practice Address - Country:US
Practice Address - Phone:415-218-6103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA817238163WH1000X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH1000XNursing Service ProvidersRegistered NurseHospice