Cristal Dawn Martin, LVN
Individual provider Active NPI Licensed Vocational Nurse · Monahans, TX
NPI 1831699321 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1831699321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 309718 (TX)
- Practice address
- 2410 W 2ND St
Monahans, TX 79756-6913 - Phone
- (432) 202-9386
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 309718 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 309718 | TX | Yes |
Addresses
Primary practice location
2410 W 2ND St
Monahans, TX 79756-6913
Mailing address
2410 W 2ND St
Monahans, TX 79756-6913
Phone (432) 202-9386
Other providers in Monahans, TX
- Diana King
- Manka Agnes Kwayu
- Megan M Lapointe
- Ashley Loy
- John P Loyless
- Midland County Hospital District
- Monahans Pharmacy Inc
- Monahans Pharmacy Inc
- Monahans-Wickett-Pyote Isd
- Jason L Morgan
All providers in Monahans, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. 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.