Individual
KRISTEN MARIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANPBC
Contact information
Practice address
300 PROFESSIONAL DR STE 2B, SCARBOROUGH, ME 04074-8897
(207) 761-1502
(207) 774-2015
Mailing address
300 PROFESSIONAL DR STE 2B, SCARBOROUGH, ME 04074-8897
(207) 761-1502
(207) 774-2015
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN39487
ME
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81798
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30346307
—
NH
05
—
432341799
—
ME
Enumeration date
09/16/2006
Last updated
11/12/2025
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