Individual
DAONNA AUTUMN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 438-4037
Mailing address
38 SHADES OF DEATH RD, DANESE, WV 25831-7305
(304) 673-1173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
88936
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN88936-NP-C
WV
Other
Enumeration date
06/21/2018
Last updated
09/20/2022
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