TRACY LYN MARTINO NPI 1003091182

NPI Information

NPI: 1003091182
Provider Name: TRACY LYN MARTINO
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
600 GRESHAM DR
NORFOLK, VA
ZIP 23507
Phone: (757) 388-8441
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Tracy Lyn Martino is a family nurse practitioner in Norfolk, VA. Tracy Lyn Martino NPI is 1003091182. 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:

600 GRESHAM DR
NORFOLK, VA
ZIP 23507-904
Phone: (757) 388-8441

The enumeration date for this NPI number is 1/8/2008 and was last updated on 12/11/2012.

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	213895	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	0024169488	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP401101	MEDICARE PIN	MASSACHUSETTS
2	P75595	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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