Individual
CYNTHIA A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP008018
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP008018
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1551757
GATEWAY-WMG
PA
01
—
1876086
HIGHMARK BLUE SHIELD
PA
01
—
210560
JOHNS HOPKINS
PA
01
—
50078166
CAPITAL BLUE CROSS-WMG
PA
01
—
930955
CAREFIRST MD BCBS
MD
Enumeration date
05/13/2006
Last updated
03/18/2020
Update your record
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