Individual
ANNA M ENNIS-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33820 OLD VALLEY PIKE STE 2, STRASBURG, VA 22657
(540) 459-1310
(540) 459-1311
Mailing address
878 FOX DR, WINCHESTER, VA 22603-8613
(405) 462-6245
(540) 546-2624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170494
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720322209
—
VA
Enumeration date
11/21/2012
Last updated
05/30/2024
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