Martin, Kristen M

Martin, Kristen M is an individual health care provider with primary practice located at 22 Bramhall St Dept Of Surgery, Portland ME 04102-3134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Martin, Kristen M can be contacted via phone (207) 662-2934.

Contact Information

Primary practice address
22 Bramhall St Dept Of Surgery Portland ME 04102-3134
Phone: (207) 662-2934
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP81798 Maine

Profile Details

NPI number 1386740348
LBN Legal business name Martin, Kristen M
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 18th, 2013 - about 11 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 1386740348 NPPES
Maine MEDICAID 432341799
Maine MEDICAID 30346307

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