Individual
MARTINA D PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
630 PETER JEFFERSON PKWY STE 140, CHARLOTTESVILLE, VA 22911-4660
(434) 218-5460
(855) 576-4983
Mailing address
630 PETER JEFFERSON PKWY STE 140, CHARLOTTESVILLE, VA 22911-4660
(434) 218-5460
(855) 576-4983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184488
VA
Other
Enumeration date
06/20/2022
Last updated
03/03/2025
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