Tracy Lyn Martino
Nurse Practitioner - Family Medicine
600 Gresham Dr
Norfolk
, Virginia 23507-1904
Tracy Lyn Martino
Nurse Practitioner - Family Medicine
600 Gresham Dr
Norfolk
, Virginia 23507-1904
(757) 388-8053
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Tracy Lyn Martino
- 600 Gresham Dr Heart Hospital
- Norfolk, VA
- Zip : 23507-1904
- Fax : (757) 388-8053
- Phone : (757) 388-8441
Second Address
- Tracy Lyn Martino
- 600 Gresham Dr
- Norfolk, VA
- Zip : 23507-1904
- Phone : (757) 388-8441
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0024169488 | VA |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 213895 | MA |
National Provider Identifier
| NPI | 1003091182 |
|---|---|
| Provider Name | Tracy Lyn Martino |
| First Address | Norfolk, VA 23507-1904 |
| Second Address | Norfolk, VA 23507-1904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2008 |
| Last Update Date | 11/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P75595 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.