MEDICARE: ROBERT J MARTIN CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP007874	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00152080	OTHER	PA	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1376541813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J MARTIN CRNP

Provider Business Mailing Address
First Line	:	2112 HARRISBURG PIKE
Second Line	:	SUITE 202
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-3500
Fax Number	:	717-544-3501

Provider Business Practice Location Address
First Line	:	2112 HARRISBURG PIKE
Second Line	:	SUITE 202
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-3500
Fax Number	:	717-544-3501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	02/10/2026

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