Individual
GIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(757) 889-5000
Mailing address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(757) 889-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024175959
VA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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