Laura Martin
Individual provider Active NPI School Registered Nurse · Winfield, WV
NPI 1861670150 · NPPES record last updated Feb 8, 2008
Key facts
- NPI
- 1861670150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 46377 (WV)
- Practice address
- 9 Courthouse Dr
Winfield, WV 25213-9347 - Phone
- (304) 586-0500
- Fax
- (304) 586-0553
- NPI assigned
- Feb 8, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 46377 | WV | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam County Schools | Past | Accepting new patients | |
| Putnam County Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 46377 | WV | Yes |
Addresses
Primary practice location
9 Courthouse Dr
Winfield, WV 25213-9347
Mailing address
501 22ND St
Dunbar, WV 25064-1711
Phone (304) 766-7655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162492000 | Medicaid | WV |
Other providers in Winfield, WV
- Cameron Lilly
- Estebania Llado-Frazer
- Cassidy J Loften
- Pamela S Lyons
- Maria Gabrielle Macko
- Jessica Massey
- Terrica Maxwell
- Beverly Woods McCoy
- Cynthia McCray
- Melissa N. Warnick DDS PLLC
All providers in Winfield, WV · School Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2008. 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.