Individual
MARIE EMMANUELLE MARTELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5809 MORRIS ST APT B, PHILADELPHIA, PA 19144-3854
(125) 327-3485
Mailing address
241B BERGEN ST, NEWARK, NJ 07103-2422
(253) 273-4853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
699755-1
NY
363LG0600X
Gerontology Nurse Practitioner
26NJ01397200
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ01397200
NJ
Other
Enumeration date
05/14/2015
Last updated
01/23/2023
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