Martin, Andrea

Martin, Andrea is an individual health care provider with primary practice located at 6171 Executive Blvd , Rockville MD 20852-3901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Martin, Andrea can be contacted via phone (202) 888-6731.

Contact Information

Primary practice address
6171 Executive Blvd Rockville MD 20852-3901
Phone: (202) 888-6731
Fax: (202) 851-5739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP016128 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R253215 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 26NJ00564400 New Jersey

Profile Details

NPI number 1952761017
LBN Legal business name Martin, Andrea
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2016
Last updated Mar 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952761017 NPPES
Pennsylvania MEDICAID 103243391 0001

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