Individual
CASSIDY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-2793
Mailing address
PO BOX 524, BOONTON, NJ 07005-0524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01371100
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01371107
NJ
Other
Enumeration date
10/14/2022
Last updated
05/20/2024
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