JENNIFER MARIE MARTELLO CRNP NPI 1568684504

NPI Information

NPI: 1568684504
Provider Name: JENNIFER MARIE MARTELLO, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
631 N BROAD STREET EXT STE 101
GROVE CITY, PA
ZIP 16127
Phone: (724) 450-7010
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Jennifer Marie Martello, CRNP is a family nurse practitioner in Grove City, PA with 6 years of experience. Jennifer Marie Martello, CRNP NPI is 1568684504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

631 N BROAD STREET EXT STE 101
GROVE CITY, PA
ZIP 16127-603
Phone: (724) 450-7010
Fax: (724) 450-7011

The NPI 1568684504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 10/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP010265	PENNSYLVANIA	Yes
2	363LF0000X	Nurse Practitioner	Family	R127803	MARYLAND	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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