MRS. BEVERLY ANN MARTIN
NPI 1376669002
Licensed Practical Nurse in Mahanoy City, PA

Active since March 22, 2007
604 W PINE ST, MAHANOY CITY, PA 17948(570) 773-3487 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Beverly Ann Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BEVERLY ANN MARTIN (NPI 1376669002) is an individual licensed practical nurse in Mahanoy City, Pennsylvania, licensed in Pennsylvania (9978794) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1376669002
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. BEVERLY ANN MARTIN
Location Address604 W PINE STMahanoy City, PA 17948-2410
Mailing Address604 W Pine StMahanoy City, PA 17948-2410 · (570) 773-3487
Sole ProprietorYes
Enumeration DateMarch 22, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1376669002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in PA · 9978794
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 9978794 (PA)
604 W PINE ST, Mahanoy City, PA 17948

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Facility/Intermediate Care Facility
604 W PINE ST
MAHANOY CITY, PA 17948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Martin's NPI number?

The NPI number for Beverly Martin is 1376669002. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Beverly Martin located?

Beverly Martin practices at 604 W Pine St, Mahanoy City, PA 17948. The listed phone number is (570) 773-3487.

What is Beverly Martin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Beverly Martin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.