Provider Demographics
NPI:1063486785
Name:ALBERTI, MARTHA B (MSN, RN, NP)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:B
Last Name:ALBERTI
Suffix:
Gender:F
Credentials:MSN, RN, NP
Other - Prefix:MS
Other - First Name:MARTHA
Other - Middle Name:B
Other - Last Name:DINNEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, NP
Mailing Address - Street 1:1395 NW 167TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5710
Mailing Address - Country:US
Mailing Address - Phone:305-628-6117
Mailing Address - Fax:
Practice Address - Street 1:5516 VIRGINIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-473-3969
Practice Address - Fax:757-506-0157
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301310363LA2200X
VA0024175599363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health