Provider Demographics
NPI:1568272185
Name:MARTHALER, DARLA HONKOMP
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:HONKOMP
Last Name:MARTHALER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14872 110TH ST
Mailing Address - Street 2:
Mailing Address - City:SAUK CENTRE
Mailing Address - State:MN
Mailing Address - Zip Code:56378-4536
Mailing Address - Country:US
Mailing Address - Phone:612-770-1013
Mailing Address - Fax:
Practice Address - Street 1:14872 110TH ST
Practice Address - Street 2:
Practice Address - City:SAUK CENTRE
Practice Address - State:MN
Practice Address - Zip Code:56378-4536
Practice Address - Country:US
Practice Address - Phone:612-770-1013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN817947164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse