Provider Demographics
NPI:1164792990
Name:MARTINHO, KRISTINE ANNE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:ANNE
Last Name:MARTINHO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:KRISTINE
Other - Middle Name:ANNE
Other - Last Name:DUNNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:330 RUES LN
Mailing Address - Street 2:MINUTE CLINIC
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3608
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 RUES LN
Practice Address - Street 2:MINUTE CLINIC
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3608
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00361900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily