Tabatha Sue Martin, LPN - Licensed Vocational Nurse in Maxwelton, WV

Tabatha Sue Martin, LPN is a Licensed Vocational Nurse based in Maxwelton, West Virginia. Tabatha Sue Martin is licensed to practice in West Virginia (license number 32488) and her current practice location is 804 Industrial Park Rd, Maxwelton, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 497-0500.

NPI number for Tabatha Sue Martin is 1407622608 and her current mailing address is 804 Industrial Park Rd, Maxwelton, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407622608.

Contact Information

Tabatha Sue Martin, LPN
804 Industrial Park Rd,
Maxwelton, WV 24957-8066
(304) 497-0500
(304) 497-0516



Provider's Profile

Full NameTabatha Sue Martin
GenderFemale
SpecialityLicensed Vocational Nurse
Location804 Industrial Park Rd, Maxwelton, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407622608
  • Provider Enumeration Date: 11/29/2023
  • Last Update Date: 11/29/2023

Medical Identifiers

Medical identifiers for Tabatha Sue Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407622608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 32488 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tabatha Sue Martin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tabatha Sue Martin, LPN
804 Industrial Park Rd,
Maxwelton, WV 24957-8066

Ph: (304) 497-0500
Tabatha Sue Martin, LPN
804 Industrial Park Rd,
Maxwelton, WV 24957-8066

Ph: (304) 497-0500

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Licensed Vocational Nurse Nurses in Maxwelton, WV


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