Whalio Doctors

NPI 1154092344

Nicole L Martin, APRN

Practitioner Adult Health Nurse Practitioner Southbury, CT

Practice location

Address
30 Quaker Farms Rd STE 1, Southbury, CT 06488-2732
Phone
(203) 262-9300
Fax
(203) 264-2696
Mailing address
67 Maple Ave, Derby, CT 06418-1328

Registered specialties

Adult Health Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 11199 (CT)

Registry record

NPI
1154092344
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Sep 2021
Record last updated
9 Nov 2022

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.