Healthcare Provider Details

I. General information

NPI: 1487442588
Provider Name (Legal Business Name): MARTINA TOKARZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 ESSEN LN
BATON ROUGE LA
70809-3542
US

IV. Provider business mailing address

5220 ESSEN LN
BATON ROUGE LA
70809-3542
US

V. Phone/Fax

Practice location:
  • Phone: 225-526-1971
  • Fax:
Mailing address:
  • Phone: 225-526-1971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61098299
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: