Individual
MRS. AMY STUTTS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 981-8429
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024186993
VA
363LA2100X
Acute Care Nurse Practitioner
091158-23
NH
363LA2100X
Acute Care Nurse Practitioner
24455
SC
363LA2100X
Acute Care Nurse Practitioner
AP119277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962709105
BLUE CROSS BLUE SHIELD
TX
05
—
281650601
—
TX
05
—
281650602
—
TX
05
—
NP7298
—
SC
01
—
P01078366
RR MEDICARE
TX
Enumeration date
02/24/2011
Last updated
07/29/2026
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