Individual
AMANDA LEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
VALLEY ANESTHESIA, 4504 STARKEY RD, ROANOKE, VA 24018
(540) 345-3556
Mailing address
7893 CEDAR EDGE RD, ROANOKE, VA 24018
(540) 521-9439
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171450
VA
367500000X
Certified Registered Nurse Anesthetist
1
VA
Other
Enumeration date
12/06/2013
Last updated
09/04/2024
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