Provider Demographics
NPI:1609588029
Name:MARTINEZ-KILGO, CINDY YVONNE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:YVONNE
Last Name:MARTINEZ-KILGO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16712 HAMPTON FARMS CT
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-1704
Mailing Address - Country:US
Mailing Address - Phone:180-433-7286
Mailing Address - Fax:
Practice Address - Street 1:16712 HAMPTON FARMS CT
Practice Address - Street 2:
Practice Address - City:MOSELEY
Practice Address - State:VA
Practice Address - Zip Code:23120-1704
Practice Address - Country:US
Practice Address - Phone:804-337-2862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VANA363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily