ANDREA MARTIN CRNP NPI 1952761017

NPI Information

NPI: 1952761017
Provider Name: ANDREA MARTIN, CRNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
6171 EXECUTIVE BLVD
ROCKVILLE, MD
ZIP 20852
Phone: (202) 888-6731
Get Directions

Andrea Martin, CRNP is a women's health nurse practitioner in Rockville, MD with 9 years of experience. Andrea Martin, CRNP NPI is 1952761017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2015

The provider's business location address is:

6171 EXECUTIVE BLVD
ROCKVILLE, MD
ZIP 20852-901
Phone: (202) 888-6731
Fax: (202) 851-5739

The NPI 1952761017 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 3/2/2016 and was last updated on 3/14/2023.

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	363L00000X	Nurse Practitioner		SP016128	PENNSYLVANIA	No
2	363L00000X	Nurse Practitioner		R253215	MARYLAND	No
3	363LW0102X	Nurse Practitioner	Women's Health	26NJ00564400	NEW JERSEY	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	103243391 0001	MEDICAID	PENNSYLVANIA

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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