Mrs Angela Faye Martin, PNP | |
925 Village Hwy, Rustburg, VA 24588-4591 | |
(434) 455-2480 | |
Not Available |
Full Name | Mrs Angela Faye Martin |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 925 Village Hwy, Rustburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689921587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 0024170251 (Virginia) | Primary |
Entity Name | Kuumba Community Health & Wellness Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205815420 PECOS PAC ID: 1052308632 Enrollment ID: O20040427000330 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angela Faye Martin, PNP 134 Elon Rd, Madison Heights, VA 24572-2536 Ph: (434) 455-2480 | Mrs Angela Faye Martin, PNP 925 Village Hwy, Rustburg, VA 24588-4591 Ph: (434) 455-2480 |
Jennifer Castle, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Ruth Patterson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Tamara Tinnin, DNP APRN CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Kenneth Swanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-332-7367 Fax: 434-332-1757 |