Most Relevant Information
Provider Data
| NPI Number: | 1003489311 |
| Provider Name: | MICHAEL N MARTIN FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024181183 |
Most Important Dates
| Enumeration Date: | 07/23/2021 |
| Last Updated: | 07/23/2021 |
Provider Practice Location
1201 BROAD ROCK BLVD
RICHMOND
VA
232490001
Practice Location Phone/Fax
| Phone: | 8046755000 |
| Fax: |
Provider Mailing Location
1201 BROAD ROCK BLVD
RICHMOND
VA
232490001
Provider Mailing Phone/Fax
| Phone: | 8046755000 |
| Fax: |