Individual provider · NPI-1

Dr. Mary A. Martin, DNP

Registered Nurse, General Practice · Newport News, VA

NPI number1467012765
StatusActive
Last updated in NPPESJun 18, 2019

Details

NPI
1467012765
Entity type
Individual (NPI-1)
Name
Dr. Mary A. Martin
Credential
DNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2019
Last updated
Jun 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice0001204448VAYes

Practice location

311 Jacks Pl
Newport News, VA 23608-1292

Phone 757-310-9671

Mailing address

311 Jacks Pl
Newport News, VA 23608-1292

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