Individual
ALYSSA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MAIN ST STE 103, NORTHBOROUGH, MA 01532-2388
(858) 367-3379
Mailing address
38 EDSON ST, STOW, MA 01775-1236
(978) 857-5052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2288737
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2288737
MA
Other
Enumeration date
05/06/2025
Last updated
07/18/2025
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