Provider Demographics
NPI:1346861978
Name:MARTINEZ, CHRISTINE (MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1553 CHESTER PIKE STE 201
Mailing Address - Street 2:
Mailing Address - City:CRUM LYNNE
Mailing Address - State:PA
Mailing Address - Zip Code:19022-1022
Mailing Address - Country:US
Mailing Address - Phone:610-499-7181
Mailing Address - Fax:610-876-0859
Practice Address - Street 1:2 W BALTIMORE AVE STE 101
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3740
Practice Address - Country:US
Practice Address - Phone:484-227-0900
Practice Address - Fax:484-324-7660
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021931363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care