Provider Demographics
NPI:1346399193
Name:MARTIN, LINDA MOIRA (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MOIRA
Last Name:MARTIN
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Gender:F
Credentials:APRN, BC
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Mailing Address - Street 1:7 CROCKETT DR
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4507
Mailing Address - Country:US
Mailing Address - Phone:978-256-4288
Mailing Address - Fax:978-256-4288
Practice Address - Street 1:950 WINTER ST
Practice Address - Street 2:SUITE 3800
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1424
Practice Address - Country:US
Practice Address - Phone:781-472-8650
Practice Address - Fax:781-472-8801
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA106006363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology