Healthcare Provider Details

I. General information

NPI: 1124969431
Provider Name (Legal Business Name): CHRISTY RENEE MARTIN LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 ROANOKE BLVD
SALEM VA
24153-6478
US

IV. Provider business mailing address

1970 ROANOKE BLVD
SALEM VA
24153-6478
US

V. Phone/Fax

Practice location:
  • Phone: 540-982-2463
  • Fax:
Mailing address:
  • Phone: 540-982-2463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number0002091163
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: