Healthcare Provider Details

I. General information

NPI: 1518361880
Provider Name (Legal Business Name): MARIA MARTINI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 GLENWAY AVE
CINCINNATI OH
45211-6378
US

IV. Provider business mailing address

8195 JORDAN RIDGE DR
CLEVES OH
45002-9099
US

V. Phone/Fax

Practice location:
  • Phone: 513-481-0900
  • Fax: 513-481-0904
Mailing address:
  • Phone: 513-256-5488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.16692
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1136746
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.16692-NP
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4034330
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: