Individual
ANN MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3 WINDSOR WAY, MASHPEE, MA 02649-2206
(774) 836-6000
Mailing address
3 WINDSOR WAY, MASHPEE, MA 02649-2206
(774) 836-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1690532
FL
163W00000X
Registered Nurse
Primary
170656
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0703397
MASS HEALTH
MA
Enumeration date
08/19/2008
Last updated
08/19/2008
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