Provider Demographics
NPI:1336910447
Name:MARTIN, VALERIE JOYCE (PA-C)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:JOYCE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3541 W BRADDOCK RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1923
Mailing Address - Country:US
Mailing Address - Phone:703-574-0708
Mailing Address - Fax:
Practice Address - Street 1:3541 W BRADDOCK RD STE 150
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1923
Practice Address - Country:US
Practice Address - Phone:703-574-0708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110009662207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology