NPI 1407622608

Tabatha Sue Martin, LPN

Practitioner Licensed Vocational Nurse Maxwelton, WV

Practice location

Address: 804 Industrial Park Rd, Maxwelton, WV 24957-8066
Phone: (304) 497-0500
Fax: (304) 497-0516

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 32488 (WV)

Other Licensed Vocational Nurse providers in West Virginia →

Registry record

NPI: 1407622608
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2023
Record last updated: 29 Nov 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.