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NPI Code Detail

MEDICARE: EVA INORINE MARTINEAU CNM, LM

MEDICARE: EVA INORINE MARTINEAU CNM, LM
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
1363LX0001XObstetrics & Gynecology Nurse Practitioner11044152FL
2367A00000XAdvanced Practice MidwifeF002123-01NY

General Provider Information

NPI Number : 1518626324
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA INORINE MARTINEAU CNM, LM
Provider Business Mailing Address
First Line : 620 VALLEY HILL DR
Second Line :
City : BRANDON
State : FL
Zip : 33510-3552
Country : US
Telephone Number : 646-342-0164
Fax Number :
Provider Business Practice Location Address
First Line : 1097 E 58TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2544
Country : US
Telephone Number : 646-342-0164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2021
Last Update Date : 01/30/2026

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