Individual
MARTHA ANN BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
314 W QUEEN ST, EDENTON, NC 27932
(252) 482-7774
(252) 482-7345
Mailing address
PO BOX 298, EDENTON, NC 27932-0298
(252) 482-7774
(252) 482-7345
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
600138
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000957
—
NC
Enumeration date
06/20/2007
Last updated
07/08/2007
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