Provider Demographics
NPI:1316756364
Name:LITTLE, MARTINA ELIZABETH
Entity type:Individual
Prefix:
First Name:MARTINA
Middle Name:ELIZABETH
Last Name:LITTLE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9199 REISTERSTOWN RD STE 101B
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4513
Mailing Address - Country:US
Mailing Address - Phone:443-898-8160
Mailing Address - Fax:443-898-8916
Practice Address - Street 1:9199 REISTERSTOWN RD STE 101B
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4513
Practice Address - Country:US
Practice Address - Phone:443-898-8160
Practice Address - Fax:443-898-8916
Is Sole Proprietor?:No
Enumeration Date:2025-01-04
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC007290364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care