Provider Demographics
NPI:1962878157
Name:LUHRS, MARTHA JEAN (FNP-C)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:JEAN
Last Name:LUHRS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 OLIVE RD
Mailing Address - Street 2:
Mailing Address - City:SANDIA PARK
Mailing Address - State:NM
Mailing Address - Zip Code:87047-9346
Mailing Address - Country:US
Mailing Address - Phone:505-917-1645
Mailing Address - Fax:
Practice Address - Street 1:407 S SCHWARTZ AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-5925
Practice Address - Country:US
Practice Address - Phone:505-609-6774
Practice Address - Fax:505-609-6775
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-02756363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily