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General NPI Number Information
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NPI Number | 1730676370
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Entity Type | Individual
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Provider Name | ELIZABETH M MARTELL FNP-BC PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 201 EDGEWATER DR STE 102
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City | WAKEFIELD
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State | MA
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Zip | 01880-6202
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Country | US
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Telephone | 978-620-0790
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Fax | 978-975-3300
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Provider Business Mailing Address
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Address Line | 30 NORTHAMPTON ST
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City | BOSTON
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State | MA
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Zip | 02118-4098
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Country | US
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Telephone | 617-433-9601
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Fax | 617-445-6538
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 065604-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 30842
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5971576
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11041150
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN280401
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN280401
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License Number State | MA
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP231004
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License Number State | ME
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11041150
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 30842
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License Number State | SC
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP231004
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License Number State | ME
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 065604-23
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License Number State | NH
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5971576
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License Number State | ID
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