Individual
DEBORAH ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
325E KENNEDY MEMORIAL DR, MAINEGENERAL GASTROENTEROLOGY, WATERVILLE, ME 04901-4531
(207) 872-2424
(207) 872-2099
Mailing address
325E KENNEDY MEMORIAL DR, MAINEGENERAL GASTROENTEROLOGY, WATERVILLE, ME 04901-4531
(207) 872-2424
(207) 872-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP081728
ME
363L00000X
Nurse Practitioner
R-027780
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432665499
—
ME
Enumeration date
07/18/2007
Last updated
11/12/2012
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