Individual
MRS. KATHLEEN ANN MARTIN
Active
Individual
MRS. KATHLEEN ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
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
Update your record
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