Martin, Deborah Ann

Martin, Deborah Ann is an individual health care provider with primary practice located at 325E Kennedy Memorial Dr Mainegeneral Gastroenterology, Waterville ME 04901-4531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Deborah Ann can be contacted via phone (207) 872-2424.

Contact Information

Primary practice address
325E Kennedy Memorial Dr Mainegeneral Gastroenterology Waterville ME 04901-4531
Phone: (207) 872-2424
Fax: (207) 872-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R-027780 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP081728 Maine

Profile Details

NPI number 1518166636
LBN Legal business name Martin, Deborah Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Nov 12th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518166636 NPPES
Maine MEDICAID 432665499

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