Individual
ANDRIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2501 OREGON PIKE, LANCASTER, PA 17601-4890
(717) 735-1954
(717) 569-3045
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP026637
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104114488
—
PA
Enumeration date
11/21/2022
Last updated
12/18/2024
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