Healthcare Provider Details

I. General information

NPI: 1396117842
Provider Name (Legal Business Name): EMILY MARTINEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY CHAMBERS

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 E STATE ST
GEORGETOWN OH
45121-1437
US

IV. Provider business mailing address

424 WARDS CORNER RD STE 200
LOVELAND OH
45140-6966
US

V. Phone/Fax

Practice location:
  • Phone: 937-378-6387
  • Fax: 937-378-4253
Mailing address:
  • Phone: 513-576-7700
  • Fax: 513-576-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP.0037002
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: