Individual
EMILY PETTIGREW MARTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 FRANCIS ST STE 3B, BOSTON, MA 02215-5501
(617) 632-7246
(617) 632-0949
Mailing address
110 FRANCIS ST STE 3B, BOSTON, MA 02215-5501
(617) 632-7246
(617) 632-0949
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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