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Individual

MRS. SHEILA MARIE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 471-0919
Mailing address
PO BOX 2757, RESTON, VA 20195-0757
(703) 471-0919

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024173297
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024173297
VA

Other

Enumeration date
01/23/2016
Last updated
07/11/2025
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