Provider Demographics
NPI:1730676370
Name:MARTELL, ELIZABETH M (NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:MARTELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:201 EDGEWATER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-6202
Mailing Address - Country:US
Mailing Address - Phone:978-620-0790
Mailing Address - Fax:
Practice Address - Street 1:201 EDGEWATER DR STE 102
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-6202
Practice Address - Country:US
Practice Address - Phone:978-620-0790
Practice Address - Fax:978-975-3300
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MECNP231004363LF0000X
MARN280401363LF0000X
NH065604-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily