person
Amanda Martin
Military Health Care Provider in Portsmouth, Virginia
NPI 1144768144

Amanda Martin is a Military Health Care Provider based in Portsmouth, VA. Amanda Martin practices in Portsmouth, VA. The NPI Number for Amanda Martin is 1144768144 and holds a License No. (Virginia).

The current practice location address for Amanda Martin is 620 John Paul Jones Circle, Portsmouth, VA and can be reached out via phone at 757-953-2518.

Location: 620 John Paul Jones Circle, Portsmouth, VA, 23708
person
Provider Profile Details
NPI Number
1144768144
Provider Name
Amanda Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
620 John Paul Jones Circle, Portsmouth, VA, 23708
Phone Number
757-953-2518
Fax Number
Provider Enumeration Date
02/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Circle
City
State
Zip
23708
Phone Number
757-953-2518
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Circle
City
State
Zip
23708
Phone Number
757-953-2518
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0101265131 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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