Martin, Diane

Martin, Diane is an individual health care provider with primary practice located at 8081 Innovation Park Dr. 5Th Floor , Fairfax VA 22031. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Nursing Service Providers / Orthopedic, Nursing Service Providers / Urology. Nursing Service Providers / Urology is her primary health care specialty. Martin, Diane can be contacted via phone (571) 472-1646.

Contact Information

Primary practice address
8081 Innovation Park Dr. 5Th Floor Fairfax VA 22031
Phone: (571) 472-1646
Fax: (571) 472-7037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 0001229190 Virginia
Nursing Service Providers / Orthopedic 163WX0800X 0001229190 Virginia
Nursing Service Providers / Urology 163WU0100X 0001229190 Virginia

Profile Details

NPI number 1003599200
LBN Legal business name Martin, Diane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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