Mary Allan F. Martinez, FNP
Individual provider Active NPI Nurse Practitioner · Norfolk, VA
NPI 1992783005 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992783005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024083857 (VA)
- Practice address
- 6333 Center Dr
BLDG. 16
Norfolk, VA 23502-4106 - Phone
- (757) 466-3429
- Fax
- (757) 466-1310
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024083857 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of Virginia, PC | Past | Accepting new patients | |
| Urology of Virginia PC | Past | Accepting new patients | |
| Urology of VA PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024083857 | VA | Yes |
Addresses
Primary practice location
6333 Center Dr
BLDG. 16
Norfolk, VA 23502-4106
Mailing address
6333 Center Dr
BLDG. 16
Norfolk, VA 23502-4106
Phone (757) 466-3429
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25560N | Other | VA | SENTARA HEALTHCARE |
Other providers in Norfolk, VA
- Stewart W Martin
- Andrea Martineau
- Yarelis Martinez Rodriguez
- Jessica Cynthia Martinez
- Joley Martinez
- Michelle Martinez
- Victoria Martinez
- Jocelyn Martinezdelgado
- Tracy Lyn Martino
- Juliana Gevaerd Martins
All providers in Norfolk, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.