Individual provider · Type 1 NPI

Amanda Derby Martin, CRNA

Certified Registered Nurse Anesthetist · Rochester, NY

NPI number 1043670201 Active

Practice location

1425 Portland Ave
Rochester, NY 14621-3011

Fax (585) 922-3731

Mailing address

100 Kings Hwy S Ste 1400
Rochester, NY 14617-5541

Other practice locations

  • 2 Coulter Rd, Clifton Springs, NY 14432-1122 · (315) 462-1417
  • 1555 Long Pond Rd, Rochester, NY 14626-4164 · (585) 723-7000
  • 1200 Driving Park Ave, Newark, NY 14513-1090 · (315) 332-2170

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X635425 (NY)
Certified Registered Nurse Anesthetist Primary 367500000X635425 (NY)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1043670201

Amanda Derby Martin, CRNA's National Provider Identifier is 1043670201, issued on Mar 2, 2016. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Rochester, NY. The record was last updated on Jun 11, 2026.