| Doctor Name: | TRACY LYN MARTINO |
| NPI Number: | 1003091182 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 213895 |
| Business Practice Address: | 600 Gresham Dr Norfolk, VA - 235071904 |
| Business Phone Number: | 7573888441 |
| Business Fax Number: | |
| Mailing Address: | 600 Gresham Dr, Heart Hospital NORFOLK |
| State: | VA |
| Postal Code: | 235071904 |
| Phone Number: | 7573888441 |
| Fax Number: | 7573888053 |
| NPI Enumeration Date: | 01/08/2008 |
| NPI Last Update Date: | 12/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 213895 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |