Individual
MRS. ANDREA BERNADETTE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
725498
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP133456
TX
363LN0000X
Neonatal Nurse Practitioner
APRN.CNP.0041393
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
2021018368
MO
363LN0005X
Critical Care Neonatal Nurse Practitioner
53-81013-102
KS
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN.CNP.0041393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171698
—
OH
Enumeration date
02/21/2017
Last updated
04/21/2026
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