MRS. RITA LAFAYE DAVIS MARTEN


Address: 700 Adeline Street, West Oakland Health Council, Oakland, CA 94542
Phone: 5108359610

MRS. RITA LAFAYE DAVIS MARTEN (NPI# 1356406649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356406649
Entity Type Individual
Full Name MRS. RITA LAFAYE DAVIS MARTEN
Credential F.N.P.
Practice Address 700 Adeline Street
West Oakland Health Council
Oakland
CA 94542
Mailing Address 27096 Fielding Drive
Hayward
CA 94542
Practice Telephone 5108359610
Mailing Telephone 5105515894
Enumeration Date 2006-12-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
622239 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 700 ADELINE STREET
WEST OAKLAND HEALTH COUNCIL
City OAKLAND
State CA
Zip Code 94542

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City OAKLAND
Zip Code 94542

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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