DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHATASHA MARTIN

Active Sole Proprietor

SHATASHA MARTIN is a Nurse Practitioner healthcare provider located in BRONX, New York. NPI 1679070916 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BRONX, NY

Registration Details

NPI Number
1679070916
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2018 (8.3663558775326 yrs)
Last Updated
Mar 28, 2022
Licenses
F348548 (NY)
746738 (NY)
Sole Proprietor
Yes

Practice Information

Address
801 E 241ST ST
BRONX, NY, 104701303
Browse NY providers · Browse ZIP 10470
Phone
7186712100
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Registered Nurse

Other Nurse Practitioner Providers in BRONX, NY

Name Credential NPI
GLADYS F ALLEN NP 1538277157
BARBARA A LYALL RNP 1619071032
TANIA J SHIMINSKI-MAHER RNP 1528162948
ANNE M SHAKOWITZ APRN 1255438073
MADELINE ROSADO RNP 1588757728
LYNNE M DENNERLEIN RNP 1992898118
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.