Provider Demographics
NPI:1962711671
Name:MARTINI, BERNADETTE (PA-C)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:
Last Name:MARTINI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3336
Mailing Address - Country:US
Mailing Address - Phone:724-223-3085
Mailing Address - Fax:
Practice Address - Street 1:100 WITMER RD
Practice Address - Street 2:SUITE 220
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2251
Practice Address - Country:US
Practice Address - Phone:215-442-5000
Practice Address - Fax:215-957-2875
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054585363A00000X, 146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic