Individual
ANDREA MARTIN
Active
Individual
ANDREA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R253215
MD
363L00000X
Nurse Practitioner
SP016128
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00564400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103243391 0001
—
PA
Enumeration date
03/02/2016
Last updated
01/22/2026
Update your record
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