Individual
MICHELLE R MARTINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGACNP-BC
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601
(508) 254-6245
Mailing address
27 PARK ST, HYANNIS, MA 02601-5203
(508) 254-6245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2289146
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
2289146
MA
Other
Enumeration date
06/09/2015
Last updated
05/16/2018
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