Christine Carole Martin, APRN
Nurse Practitioner, Acute Care in South Charleston, WV. Individual provider (NPI-1).
NPI number1326516865
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1326516865
- Entity type
- Individual (NPI-1)
- Name
- Christine Carole Martin
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2018
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 80046 | WV | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 80046 | WV |
Other names
- Christine C Taylor (Former Name)
Practice location
4619 Kanawha Ave SwSouth Charleston, WV 25309-1319
Phone 304-400-4545 · Fax 304-400-4546
Mailing address
3110 Maccorkle Ave SeCharleston, WV 25304-1210
Other practice locations
3110 Maccorkle Ave Se
Charleston, WV 25304-1210
Charleston, WV 25304-1210
Phone 304-347-1395
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