| Mrs Angela Faye Martin, PNP | |
|
925 Village Hwy, Rustburg, VA 24588-4591 | |
| (434) 455-2480 | |
| Not Available |
| Full Name | Mrs Angela Faye Martin |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205815420 PECOS PAC ID: 1052308632 Enrollment ID: O20040427000330 |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316926538 PECOS PAC ID: 9537060413 Enrollment ID: O20040709000047 |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881102655 PECOS PAC ID: 9537060413 Enrollment ID: O20181026000591 |
| 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 |
Ruth Patterson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Kelly Leslie, APRN-FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-929-1400 | |
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 |