Individual provider · Type 1 NPI
Beverly Ann Martin
Licensed Practical Nurse · Mahanoy City, PA
NPI number
1376669002
Active
Practice location
604 W Pine St
Mahanoy City, PA 17948-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 9978794 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 9978794 (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.
Another provider at this address
About NPI 1376669002
Beverly Ann Martin's National Provider Identifier is 1376669002, issued on Mar 22, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mahanoy City, PA. The record was last updated on Sep 11, 2025.