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Individual

MARTHA EDWARDS HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
16681 GENERAL PULLER HWY, DELTAVILLE, VA 23043-2006
(804) 776-8000
(804) 776-6211
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
0024059480
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024059480
VA

Other

Enumeration date
08/03/2011
Last updated
03/11/2014
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