Organization
MARTIN'S TELEMEDICINE AND MENTAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETREL D MARTIN-HALL CRNP (NURSE PRACTITIONER)
(443) 800-6481
Entity
Organization
Contact information
Practice address
15 LUFFING CT, ESSEX, MD 21221-2934
(443) 800-6481
Mailing address
15 LUFFING CT, ESSEX, MD 21221-2934
(443) 800-6481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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