Individual
LINDA ROSE MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1100 WALNUT ST, SUITE 300, PHILADELPHIA, PA 19107-5563
(215) 955-6999
Mailing address
1100 WALNUT ST, SUITE 300, PHILADELPHIA, PA 19107-5563
(215) 955-6999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP001500G
PA
363LA2200X
Adult Health Nurse Practitioner
UP001500G
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
UP001500G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102902220
—
PA
Enumeration date
10/02/2008
Last updated
06/25/2015
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