Provider Demographics
NPI:1487097291
Name:RUSHING, MARTHA (RN)
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:
Last Name:RUSHING
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:PO BOX 1012
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-1012
Mailing Address - Country:US
Mailing Address - Phone:509-662-6422
Mailing Address - Fax:509-888-3816
Practice Address - Street 1:401 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2407
Practice Address - Country:US
Practice Address - Phone:509-662-6422
Practice Address - Fax:509-888-3816
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00080238163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse