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Individual

EMILY PETTIGREW MARTYN

Active
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Individual

EMILY PETTIGREW MARTYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
COA.11348-NP
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2270996
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100110090
KY
Enumeration date
03/10/2010
Last updated
01/25/2022
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