Miss Kimberly Charise Martin
Nurse Practitioner Nurse Practitioner - Gerontology
1802 Braeburn Dr
Salem
, Virginia 24153-7357
Miss Kimberly Charise Martin
Nurse Practitioner Nurse Practitioner - Gerontology
1802 Braeburn Dr
Salem
, Virginia 24153-7357
(615) 373-7600
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Miss Kimberly Charise Martin
- 2000 Health Park Dr Fl Hp2
- Brentwood, TN
- Zip : 37027-4692
- Phone : (615) 373-7600
Second Address
- Miss Kimberly Charise Martin
- 1802 Braeburn Dr
- Salem, VA
- Zip : 24153-7357
- Phone : (540) 772-3400
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Is Miss Kimberly Charise Martin a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024174765 | VA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 0024174765 | VA |
National Provider Identifier
| NPI | 1063946358 |
|---|---|
| Provider Name | Miss Kimberly Charise Martin |
| First Address | Brentwood, TN 37027-4692 |
| Second Address | Salem, VA 24153-7357 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2017 |
| Last Update Date | 27/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.