Lisa Goolrick Martin, AGACNP-BC
Nurse Practitioner, Acute Care in Richmond, VA. Individual provider (NPI-1).
NPI number1417469107
StatusActive
Last updated in NPPESNov 2, 2017
Details
- NPI
- 1417469107
- Entity type
- Individual (NPI-1)
- Name
- Lisa Goolrick Martin
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2017
- Last updated
- Nov 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 0024175574 | VA | Yes |
Practice location
1201 Broad Rock BlvdRichmond, VA 23249-0001
Phone 804-675-5403
Mailing address
2449 Gobbler Ridge RdPowhatan, VA 23139-6239
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