Individual
JULIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 FLAT ROCK PL, WESTBROOK, CT 06498-3585
(860) 358-3640
(860) 358-8656
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
005132
CT
Other
Enumeration date
10/09/2012
Last updated
09/26/2024
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