Carolyn B Martin in Waldorf - Registered Nurse

Carolyn B Martin - NPI 1720191455

Carolyn B Martin is a Registered Nurse in Waldorf, Maryland. Carolyn B Martin practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Carolyn B Martin is 1720191455. The last update date is 2007-07-08.

Carolyn B Martin's current location address is 3510 Old Washington Road, Waldorf, Maryland. You can contact this provider via phone number 2404271731. The mailing address for Carolyn B Martin is 3510 Old Washington Road, Waldorf, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn B Martin
Address 3510 Old Washington Road, Waldorf, Maryland
Phone Number 2404271731
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1720191455
Provider Enumeration Date 2006-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3510 Old Washington Road
City Waldorf
State Maryland (MD)
Post Code 20602
Phone Number 2404271731
Fax Number

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No R110317
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R110317 MD STATE LICENSE

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FAQs about Carolyn B Martin

What is the unique identifier code issued to Carolyn B Martin by the Centers for Medicare & Medicaid Services (CMS)?

The Carolyn B Martin has been assigned the NPI (National Provider Identifier) 1720191455. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Carolyn B Martin is geographically located?

The Carolyn B Martin is physically situated at the following location: 3510 Old Washington Road, Waldorf, MD, 20602.

What is Carolyn B Martin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Carolyn B Martin is Registered Nurse, and the taxonomy classification code that categorizes this area of expertise is 163W00000X.

On what date did the Carolyn B Martin receive the assignment of its 1720191455 from the Centers for Medicare & Medicaid Services?

The Carolyn B Martin was issued its 1720191455 by the Centers for Medicare & Medicaid Services on 2006-08-16.

When was the information regarding Carolyn B Martin most recently updated?

The details pertaining to the Carolyn B Martin, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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