IndividualActive
Carnetta Martin, NURSE PRACTITIONER
NPI 1396382040 · Psychiatric/Mental Health Nurse Practitioner · Suffield, CT
Provider details
- NPI number
- 1396382040
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 6890 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Canal Rd
Suffield, CT 06078-1921
Phone: (860) 668-6111
Approximate (ZIP-level) locationGet directions
Mailing address
1 Canal Rd
Suffield, CT 06078-1921
Additional practice locations (1)
- 150 Hazard Ave Bldg CEnfield, CT 06082-4575Phone: (860) 830-2350
Registry dates
- Enumerated
- 2019-12-02
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.