Provider Demographics
NPI:1518139468
Name:MORROW, MARTHA JEAN (FNP)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:JEAN
Last Name:MORROW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:MARTHA
Other - Middle Name:JEAN
Other - Last Name:BIVIADIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:301 N CAMERON ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601
Mailing Address - Country:US
Mailing Address - Phone:540-536-1680
Mailing Address - Fax:540-662-5321
Practice Address - Street 1:301 N CAMERON ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-536-1680
Practice Address - Fax:540-662-5321
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017001428363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner