Individual
MRS. KATHLEEN ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, DEPT OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-7756
(603) 650-5267
Mailing address
1 MEDICAL CENTER DR, DEPT OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-7756
(603) 650-5267
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
052389-23-12
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010118
—
VT
05
—
30342522
—
NH
Enumeration date
05/22/2006
Last updated
11/22/2011
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