Individual
KAY ALISON MARTTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4591
(802) 775-8224
(802) 747-7699
Mailing address
78 S MAIN ST, RUTLAND, VT 05701-4591
(802) 775-8224
(802) 747-7699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112300
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101-0043418
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04216515
—
NY
05
—
1015818
—
VT
Enumeration date
10/25/2007
Last updated
01/13/2017
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