Individual
AMY MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
7160 BARRY RD, ALEXANDRIA, VA 22315-3409
(856) 465-1985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR12124300
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
0024177944
VA
367500000X
Certified Registered Nurse Anesthetist
RN688649
PA
Other
Enumeration date
01/31/2006
Last updated
10/15/2025
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