Patricia Lynn Martin, LPN
Individual provider Active NPI Licensed Vocational Nurse · Otway, OH
NPI 1679792154 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679792154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- PN109150 (OH)
- Practice address
- 12255 St. RT. 348
Otway, OH 45657-9504 - Phone
- (937) 587-2907
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN109150 | OH | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | PN109150 | OH | Yes |
Addresses
Primary practice location
12255 St. RT. 348
Otway, OH 45657-9504
Mailing address
12255 St. RT. 348
Otway, OH 45657-9504
Phone (937) 587-2907
Other providers in Otway, OH
- Virginia Rae Hall
- Shirley A. Hatten
- Linda Marie Hoople
- Heidi Lute
- Savanna Lee Maguire
- Ashley Nichols
- Deborah Nichols
- Bobbie Osman
- Amy Michelle Phipps
- Glenda Darlene Powell
All providers in Otway, OH · Licensed Vocational Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.