National Provider Identifier

Teri A Martin, F.N.P.

Teri A Martin, F.N.P. is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-4508.

NPI 1619976933Elmira, NYNurse Practitioner

Profile Overview

NPI
1619976933
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
July 19, 2005
Last Updated
June 08, 2016

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Phone: (607) 737-4508

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Nurse Practitioner (363L00000X)
  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1619976933
Entity Type
Individual
Last Name
Martin
First Name
Teri
Middle Name
A
Credential
F.N.P.
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-4508
Practice Fax
(607) 735-5738
Enumeration Date
July 19, 2005
Last Updated
June 08, 2016
Deactivation Date
March 20, 2006
Reactivation Date
March 27, 2006
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)
Other Identifiers
02093850 (NY)