Individual
CARRIE B MARTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4164
(585) 723-7870
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
585058
NY
363LA2200X
Adult Health Nurse Practitioner
F312005-01
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
312005
NY
Other
Enumeration date
07/11/2024
Last updated
11/27/2024
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