Provider Demographics
NPI:1811910573
Name:FRANKEL, MARTHA JEAN (RN, FNP, MFC)
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:JEAN
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:RN, FNP, MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:
Mailing Address - City:POINT REYES STATION
Mailing Address - State:CA
Mailing Address - Zip Code:94956-0910
Mailing Address - Country:US
Mailing Address - Phone:415-663-8781
Mailing Address - Fax:415-663-9632
Practice Address - Street 1:#3 6TH ST.
Practice Address - Street 2:
Practice Address - City:POINT REYES STATION
Practice Address - State:CA
Practice Address - Zip Code:94956
Practice Address - Country:US
Practice Address - Phone:415-663-8666
Practice Address - Fax:415-663-9532
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46825106H00000X
CARN 276307 NP 0300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist