Individual
MS. MARTHA LOUISE FAVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 PEARL ST, FITCHBURG STATE COLLEGE STUDENT HEALTH SERVICES, FITCHBURG, MA 01420-2697
(978) 665-3344
Mailing address
160 PEARL ST, FITCHBURG STATE COLLEGE STUDENT HEALTH SERVICES, FITCHBURG, MA 01420-2697
(978) 665-3344
(978) 665-3641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
164930
MA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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