Isaac Martineau
Individual provider Active NPI Registered Nurse · Shirley, MA
NPI 1447064597 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1447064597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN2361990 (MA)
- Practice address
- 1 August LN
Shirley, MA 01464-2633 - Phone
- (617) 416-7115
- NPI assigned
- Feb 6, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2361990 | MA | MD | Registered Nurse |
| 834463 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2361990 | MA | Yes |
| Registered Nurse | 163W00000X | 834463 | NY |
Addresses
Primary practice location
1 August LN
Shirley, MA 01464-2633
Mailing address
1 August LN
Shirley, MA 01464-2633
Phone (617) 416-7115
Other providers in Shirley, MA
- Elissa Kramerson
- Erika K Krause
- Juliana Lazaris
- Nicole S Leblanc
- Loving Light Home Care LLC
- Mass Hearing Specialists, Inc.
- Frank A. Mastrangelo
- Amy McLellan
- Mended Roots Acupuncture and Wellness
- MHM Health Professionals, Inc
All providers in Shirley, MA · Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.