Individual
TARA LYNN-FITZGERALD MARTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3125
Mailing address
167 MORRIS ST APT 32, ALBANY, NY 12208-3853
(407) 721-0202
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431185
NY
363LA2100X
Acute Care Nurse Practitioner
9309576
FL
Other
Enumeration date
09/22/2017
Last updated
11/05/2019
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