Individual
MRS. AMY G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
345 MONTAUK AVE, NEW LONDON, CT 06320-4738
(860) 444-6868
(860) 437-0650
Mailing address
345 MONTAUK AVE, NEW LONDON, CT 06320-4738
(860) 444-6868
(860) 437-0650
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
001886
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004197027
—
CT
01
—
101886
CONNECTICARE
CT
01
—
2V5539
HEALTH NET
CT
Enumeration date
09/06/2005
Last updated
09/03/2014
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