Provider Demographics
NPI:1841097474
Name:FOELL, MARTINA J
Entity type:Individual
Prefix:
First Name:MARTINA
Middle Name:J
Last Name:FOELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 S 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2109
Mailing Address - Country:US
Mailing Address - Phone:402-490-1292
Mailing Address - Fax:
Practice Address - Street 1:1127 CARRIAGE RD
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2803
Practice Address - Country:US
Practice Address - Phone:402-490-1292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care