Individual
CHRISTA LEA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1185 MOUNT AETNA RD STE 102, HAGERSTOWN, MD 21740-6832
(240) 513-6300
(240) 513-6303
Mailing address
1185 MOUNT AETNA RD STE 102, HAGERSTOWN, MD 21740-6832
(240) 513-6300
(240) 513-6303
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
193525
MD
Other
Enumeration date
11/03/2005
Last updated
03/14/2016
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