# MS. LISA A. MARTINKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952486045
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | VP002197J | PA | Yes |
| 363LN0000X | Neonatal Nurse Practitioner | VP002197J | PA | — |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | VP002197J | PA | — |
| 363LP0200X | Pediatric Nurse Practitioner | VP002197J | PA | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 09/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4030362 | — | MD |
| 05 | — | 7960 | — | NJ |