JULIANA MARIE MARTINO (NPI# 1043721715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043721715 |
Entity Type | Individual |
Full Name | JULIANA MARIE MARTINO |
Credential | FNP-BC |
Practice Address |
21540 W 11 Mile Rd Ste 200 Southfield MI 48076-3843 |
Mailing Address |
51649 Woodside Dr Macomb MI 48042-4241 |
Practice Telephone | 8887420285 |
Mailing Telephone | 5863375775 |
Enumeration Date | 2017-10-20 |
Last Update Date | 2018-01-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704298950 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
21540 W 11 MILE RD STE 200 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48076-3843 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366530941 | Susan Elizabeth Little Jones | Internal Medicine | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2006-10-10 |
1245859446 | Vpa PC | Pediatrics | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2020-04-09 |
1669091864 | Vpa PC | Pediatrics | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2020-04-09 |
1841671146 | Uzair Munshey | Family Medicine | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076 | 2015-06-11 |
1891078846 | Raafat Boles Mahrous Shehata | Family Medicine | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2011-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
Find all providers in zip 48076 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999793 | Sharon Boyd | Nurse Practitioner | 16213 Lamplighter Ct Apt 1114, Southfield, MI 48075-3536 | 2020-07-15 |
1609414218 | Ruby Nzoma | Nurse Practitioner | 25774 Dunbar St, Southfield, MI 48033-5859 | 2019-12-13 |
1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
1093364473 | Abra Perlman | Nurse Practitioner | 17309 Hilton St, Southfield, MI 48075-7018 | 2019-09-08 |
1154980134 | Ahmed Rezk | Nurse Practitioner | 29877 Telegraph Rd Ste 301, Southfield, MI 48034-7660 | 2019-06-12 |
1841857885 | Laronda Morenike Allen | Nurse Practitioner | 18272 New Hampshire Dr, Southfield, MI 48075-8102 | 2019-05-24 |
1902374986 | Theresa Owusu-ansah | Nurse Practitioner | 26206 W 12 Mile Rd Ste 302, Southfield, MI 48034-8501 | 2018-11-07 |
1003381500 | Theonna Monique Hindmon-harris | Nurse Practitioner | 21700 Northwestern Hwy Ste 815, Southfield, MI 48075-4922 | 2018-10-10 |
1922592872 | Melanie Jenkins | Nurse Practitioner | 23407 Park Place Dr, Southfield, MI 48033-7116 | 2018-06-14 |
1487155024 | Timothy O Gates | Nurse Practitioner | 16250 Northland Dr Ste 369, Southfield, MI 48075-1524 | 2018-02-27 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48076 |
Please comment or provide details below to improve the information on JULIANA MARIE MARTINO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.