Martin, Micaelle

Martin, Micaelle is an individual health care provider with primary practice located at 36 Gardner St , East Windsor CT 06088-9675. 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 / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Martin, Micaelle can be contacted via phone (860) 292-4000.

Contact Information

Primary practice address
36 Gardner St East Windsor CT 06088-9675
Phone: (860) 292-4000
Fax: (860) 292-8326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 195552 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 006123 Connecticut

Profile Details

NPI number 1154560852
LBN Legal business name Martin, Micaelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2009
Last updated Jun 19th, 2015 - about 9 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.

Request for update

Popular Providers