Individual
MRS. ANGELA FAYE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
925 VILLAGE HWY, RUSTBURG, VA 24588-4591
(434) 455-2480
Mailing address
134 ELON RD, MADISON HEIGHTS, VA 24572-2536
(434) 455-2480
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024170251
VA
Other
Enumeration date
08/09/2012
Last updated
05/13/2024
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