National Provider Identifier

Christina Jill Martin

Christina Jill Martin is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 331-6264.

NPI 1558630871Newark, NYLicensed Practical Nurse

Profile Overview

NPI
1558630871
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 14, 2011
Last Updated
December 14, 2011

Practice Location

  • 3723 Route 88 N
  • Newark, NY 14513-9226

Phone: (315) 331-6264

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558630871
Entity Type
Individual
Last Name
Martin
First Name
Christina
Middle Name
Jill
Mailing Street Address
3723 Route 88 N
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-9226
Mailing Country
US
Mailing Phone
(315) 331-6264
Practice Street Address
3723 Route 88 N
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9226
Practice Country
US
Practice Phone
(315) 331-6264
Enumeration Date
December 14, 2011
Last Updated
December 14, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)