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Individual
MICHELLE MARTINEZ
Active
Individual
MICHELLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2319958
MA
363LW0102X
Women's Health Nurse Practitioner
RN2319958
MA
367A00000X
Advanced Practice Midwife
Primary
RN2319958
MA
Other
Enumeration date
09/08/2020
Last updated
09/09/2024
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