Individual provider · Type 1 NPI

Charles Stewart Martin Iii, LPN, MBA

Licensed Practical Nurse · Watsontown, PA

NPI number 1295388726 Active

Practice location

759 Susquehanna Trl
Watsontown, PA 17777-8109

Fax (570) 538-1257

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN265059 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1295388726

Charles Stewart Martin Iii, LPN, MBA's National Provider Identifier is 1295388726, issued on Jul 23, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Watsontown, PA. The record was last updated on Jul 23, 2019.