Individual provider · Type 1 NPI

Fitz Martin

Psychiatric/Mental Health Nurse Practitioner · Media, PA

NPI number 1972142669 Active

Practice location

1055 E Baltimore Pike Ste 303
Media, PA 19063-5173

Fax (267) 282-3872

Mailing address

PO Box 422
Wynnewood, PA 19096-0422

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XSP021299 (PA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1972142669

Fitz Martin's National Provider Identifier is 1972142669, issued on Dec 30, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Media, PA. The record was last updated on Dec 30, 2025.