Provider Demographics
NPI:1922394105
Name:MARTIN, BRIGETTE M (CD)
Entity type:Individual
Prefix:MRS
First Name:BRIGETTE
Middle Name:M
Last Name:MARTIN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 FARNSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01468-1109
Mailing Address - Country:US
Mailing Address - Phone:978-652-5064
Mailing Address - Fax:
Practice Address - Street 1:114 FARNSWORTH RD
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:MA
Practice Address - Zip Code:01468-1109
Practice Address - Country:US
Practice Address - Phone:978-652-5064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-25
Last Update Date:2011-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula