Healthcare Provider Details

I. General information

NPI: 1740931153
Provider Name (Legal Business Name): CYNTHIA MARTONE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 N RIDGE RD E STE 700A
ASHTABULA OH
44004-4333
US

IV. Provider business mailing address

3010 W LAKE RD
ERIE PA
16505-3849
US

V. Phone/Fax

Practice location:
  • Phone: 440-484-2130
  • Fax: 440-484-2131
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP025229
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0035838
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: