Individual provider · Type 1 NPI

Tabatha Sue Martin, LPN

Licensed Vocational Nurse · Maxwelton, WV

NPI number 1407622608 Active

Practice location

804 Industrial Park Rd
Maxwelton, WV 24957-8066

Call (304) 497-0500 Map

Fax (304) 497-0516

Mailing address

131 Wellness Dr
Summersville, WV 26651-5402

Other practice locations

  • 414 Industrial Park Road, Maxwelton, WV 24957 · (888) 736-3229
  • 704 3rd Ave, Marlinton, WV 24954-1142 · (888) 736-3229
  • 131 Wellness Dr, Summersville, WV 26651-5402 · (888) 736-3229
  • 70 Parcoal Rd, Webster Springs, WV 26288-9767 · (888) 736-3229

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X32488 (WV)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

103 other providers at this address

About NPI 1407622608

Tabatha Sue Martin, LPN's National Provider Identifier is 1407622608, issued on Nov 29, 2023. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Maxwelton, WV. The record was last updated on Oct 30, 2026.