Individual
LISA GOOLRICK MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5403
Mailing address
2449 GOBBLER RIDGE RD, POWHATAN, VA 23139-6239
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175574
VA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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