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NPI Code Detail

MEDICARE: KATELYN MARTIN

MEDICARE: KATELYN MARTIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2390982MA

General Provider Information

NPI Number : 1760067334
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN MARTIN
Provider Business Mailing Address
First Line : 52 OAK ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2078
Country : US
Telephone Number : 508-923-5300
Fax Number :
Provider Business Practice Location Address
First Line : 52 OAK ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2078
Country : US
Telephone Number : 508-923-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2021
Last Update Date : 02/05/2026

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Directions to “ KATELYN MARTIN ” Practice Location

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