Individual
CHRISTINA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1169 EASTERN PKWY STE 400, LOUISVILLE, KY 40217-1412
(502) 276-5554
Mailing address
1169 EASTERN PKWY STE 400, LOUISVILLE, KY 40217-1412
(502) 276-5554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3004027
KY
363LF0000X
Family Nurse Practitioner
Primary
3004027
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388244
BLUE CROSS FACETS ID
KY
01
—
000001189538
ANTHEM ID
—
01
—
1641617
WELLCARE
—
05
—
201078550
—
IN
01
—
3205478
UNITED HEALTHCARE
—
01
—
343528KYIP
AETNA BETTER HEALTH
KY
05
—
7100017960
—
KY
01
—
9226249
AETNA PIN
—
01
—
CS1827500489
CARESOURCE ID
—
Enumeration date
10/17/2006
Last updated
06/12/2025
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