Martin, Nicki Dawn

Martin, Nicki Dawn is an sole proprietor health care provider with primary practice located at Med Express 277 Greasy Ridge Rd, Princeton WV 24740. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Martin, Nicki Dawn can be contacted via phone (304) 425-7615.

Contact Information

Primary practice address
Med Express 277 Greasy Ridge Rd Princeton WV 24740
Phone: (304) 425-7615
Fax: (304) 425-7635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN68714-FNP-BC West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN68714-FNP-BC West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024172549 Virginia

Profile Details

NPI number 1609275049
LBN Legal business name Martin, Nicki Dawn
Credentials APRN,FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2014
Last updated Apr 1st, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1609275049 NPPES
West Virginia MEDICAID 3810028855

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