Healthcare Provider Details

I. General information

NPI: 1942592308
Provider Name (Legal Business Name): MARTHA H ESKRIDGE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N MCKENZIE ST
FOLEY AL
36535-2249
US

IV. Provider business mailing address

1725 N MCKENZIE ST
FOLEY AL
36535-2249
US

V. Phone/Fax

Practice location:
  • Phone: 251-943-2141
  • Fax: 251-943-2846
Mailing address:
  • Phone: 251-943-2141
  • Fax: 251-943-2846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number1-077304
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-077304
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: