Whalio Doctors

NPI 1104918796

Allen Lionel Martin, NPRN

Practitioner Psychiatric/Mental Health Nurse Practitioner Belfast, ME

Practice location

Address
15 Mid Coast Dr, Belfast, ME 04915-6079
Phone
(207) 338-2295
Fax
(207) 338-2388
Mailing address
300 Southborough Dr Suite 201, South Portland, ME 04106-6914

Registered specialties (2)

Psychiatric/Mental Health Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence CNP81743 (ME)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence RN41793 (ME)

Registry record

NPI
1104918796
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Sep 2006
Record last updated
27 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.