Individual
DAWN PHELPS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 OAK STREET, FARMVILLE, VA 23901
(434) 392-8811
Mailing address
2289 SPRING GROVE RD, SPOUT SPRING, VA 24593-2603
(434) 610-1497
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
0001164576
VA
363LF0000X
Family Nurse Practitioner
Primary
0024184093
VA
Other
Enumeration date
03/24/2022
Last updated
04/05/2022
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