Dimilla, Martha Powers
Dimilla, Martha Powers is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Dimilla, Martha Powers can be contacted via phone (508) 856-4050.Contact Information
Primary practice address
55 Lake Ave N Department Of Surgery
Worcester MA 01655-0002
Phone: (508) 856-4050
Fax: (508) 856-1060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 212673 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN212673 | Massachusetts |
Profile Details
| NPI number | 1831284199 |
|---|---|
| LBN Legal business name | Dimilla, Martha Powers |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Mar 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831284199 | NPPES |
| Massachusetts | MEDICAID | 0710334 |
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