Martha Edwards Hart, NP
Individual provider Active NPI Pediatric Nurse Practitioner · Deltaville, VA
NPI 1881972107 · NPPES record last updated Mar 11, 2014
Key facts
- NPI
- 1881972107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 0024059480 (VA)
- Practice address
- 16681 General Puller Hwy
Deltaville, VA 23043-2006 - Phone
- (804) 776-8000
- Fax
- (804) 776-6211
- NPI assigned
- Aug 3, 2011
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024059480 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Past | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 0024059480 | VA | |
| Pediatric Nurse Practitioner | 363LP0200X | 0024059480 | VA | Yes |
Addresses
Primary practice location
16681 General Puller Hwy
Deltaville, VA 23043-2006
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Other providers in Deltaville, VA
- Sabrina Barrack
- Christopher Shawn Blake
- C. Ben Lennon D.D.S., Inc.
- Brittany Nicole Erwin
- Tammy Oliver Johnson
- Alison L Johnston
- Charles Benley Lennon
- Middlesex County Volunteer Squad Inc
- Karen A. Ransone
All providers in Deltaville, VA · Pediatric Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2014. 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.