Healthcare Provider Details

I. General information

NPI: 1679340426
Provider Name (Legal Business Name): NICOLE BRIT MARTINEK APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6949 GOOD SAMARITAN DR
CINCINNATI OH
45247-5204
US

IV. Provider business mailing address

6949 GOOD SAMARITAN DR
CINCINNATI OH
45247-5204
US

V. Phone/Fax

Practice location:
  • Phone: 513-853-1300
  • Fax:
Mailing address:
  • Phone: 513-853-1300
  • Fax: 513-853-4118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0035213
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.0035213
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: