Individual
GLENN JOSEPH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
5 ZEPHYR DR, YARMOUTH PORT, MA 02675-2372
(508) 280-1951
Mailing address
5 ZEPHYR DR, YARMOUTH PORT, MA 02675-2372
(508) 280-1951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2325574
MA
163WC0400X
Case Management Registered Nurse
Primary
RN2325574
MA
163WH0200X
Home Health Registered Nurse
RN2325574
MA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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