Provider Demographics
NPI:1982431656
Name:MARTIN, ALTRINA JOY (DSP,HHA,,PCA)
Entity type:Individual
Prefix:
First Name:ALTRINA
Middle Name:JOY
Last Name:MARTIN
Suffix:
Gender:F
Credentials:DSP,HHA,,PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 YEARLING CT. APT.#5A
Mailing Address - Street 2:3924 YEARLING CT. APT.#5A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211
Mailing Address - Country:US
Mailing Address - Phone:513-693-8684
Mailing Address - Fax:
Practice Address - Street 1:3924 YEARLING CT. APT.5A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211
Practice Address - Country:US
Practice Address - Phone:513-693-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide