NPI 1003599200

Diane Martin, RN

Practitioner Urology Registered Nurse Fairfax, VA

Practice location

Address: 8081 Innovation Park Dr. 5th Floor, Fairfax, VA 22031
Phone: (571) 472-1646
Fax: (571) 472-7037

Registered specialties (3)

Urology Registered Nurse Primary

Nursing Service Providers Taxonomy 163WU0100X Licence 0001229190 (VA)

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Registry record

NPI: 1003599200
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2023
Record last updated: 14 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.