Samantha Regene Martin, CRNP
Nurse Practitioner, Acute Care in New York, NY. Individual provider (NPI-1).
NPI number1265713192
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1265713192
- Entity type
- Individual (NPI-1)
- Name
- Ms. Samantha Regene Martin
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2011
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | F431632-01 | NY | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 2011003186 | AL |
Practice location
1275 York AveNew York, NY 10065-6007
Phone 256-541-7491
Mailing address
1275 York AveNew York, NY 10065-6007
Phone 256-541-7491
Other practice locations
101 Sivley Rd Sw
Huntsville, AL 35801-4421
Huntsville, AL 35801-4421
Phone 256-265-1000
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