Individual
CHRISTINE CAROLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1319
(304) 400-4545
(304) 400-4546
Mailing address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
80046
WV
363LG0600X
Gerontology Nurse Practitioner
80046
WV
Other
Enumeration date
11/02/2018
Last updated
10/27/2022
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