Individual
AMANDA KAYE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
114 SUMMERS RIDGE RD, MORGANTOWN, WV 26508-2581
(719) 648-4478
Mailing address
114 SUMMERS RIDGE RD, MORGANTOWN, WV 26508-2581
(719) 648-4478
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
121765
WV
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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