Martina, Amy

Martina, Amy is an individual health care provider with primary practice located at 10000 Telegraph Rd , Taylor MI 48180-3330. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Martina, Amy can be contacted via phone (313) 295-5007.

Contact Information

Primary practice address
10000 Telegraph Rd Taylor MI 48180-3330
Phone: (313) 295-5007
Fax: (313) 295-6725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704191045 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704191045 Michigan

Profile Details

NPI number 1538505318
LBN Legal business name Martina, Amy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2013
Last updated Mar 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538505318 NPPES
Michigan Other 12553400 CAQH

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