Provider Demographics
NPI:1174553150
Name:ARTIGA, MARTA E (RN)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:E
Last Name:ARTIGA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 BARSTOW RD
Mailing Address - Street 2:APT 25
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-4988
Mailing Address - Country:US
Mailing Address - Phone:323-314-6156
Mailing Address - Fax:
Practice Address - Street 1:4TH AND INNER LOOP
Practice Address - Street 2:BUILDING 166
Practice Address - City:FORT IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310-5109
Practice Address - Country:US
Practice Address - Phone:760-380-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61412163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA61412OtherRN LICENSE