Healthcare Provider Details

I. General information

NPI: 1851210892
Provider Name (Legal Business Name): KAREN MASSIEL MARTINEZ FERMIN LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8427 DORSEY CIR STE 101
MANASSAS VA
20110-4596
US

IV. Provider business mailing address

8427 DORSEY CIR STE 101
MANASSAS VA
20110-4596
US

V. Phone/Fax

Practice location:
  • Phone: 703-330-7517
  • Fax: 703-656-4893
Mailing address:
  • Phone: 703-330-7517
  • Fax: 703-656-4893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number0002098044
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: