Individual provider · Type 1 NPI

Michelle Martin

Nurse Practitioner · Fairmont, WV

NPI number 1750017604 Active

Practice location

207 Fairmont Ave
Fairmont, WV 26554-2710

Fax (681) 404-6871

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X113712 (WV)
Family Nurse Practitioner 363LF0000X113712 (WV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1750017604

Michelle Martin's National Provider Identifier is 1750017604, issued on Jul 25, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairmont, WV. The record was last updated on Nov 24, 2025.