Provider Demographics
NPI:1831706597
Name:ALEJANDRO-BIRD, MARTHA LUZ (AGNP)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:LUZ
Last Name:ALEJANDRO-BIRD
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Gender:F
Credentials:AGNP
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:120 KINGS WAY STE &3300
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-2505
Practice Address - Country:US
Practice Address - Phone:757-221-0750
Practice Address - Fax:757-229-5168
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
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Provider Licenses
StateLicense IDTaxonomies
VA0024179412363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology