Individual
CAROLYN BURKE MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-7500
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-7500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002320
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004218899
—
CT
Enumeration date
09/23/2005
Last updated
06/05/2018
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