Individual provider · Type 1 NPI

Lisa Goolrick Martin, AGACNP-BC

Acute Care Nurse Practitioner · Richmond, VA

NPI number 1417469107 Active

Practice location

1201 Broad Rock Blvd
Richmond, VA 23249-0001

Mailing address

2449 Gobbler Ridge Rd
Powhatan, VA 23139-6239

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X0024175574 (VA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1417469107

Lisa Goolrick Martin, AGACNP-BC's National Provider Identifier is 1417469107, issued on Nov 2, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Richmond, VA. The record was last updated on Nov 2, 2017.