Provider Demographics
NPI:1154574036
Name:DEMARTINI, ELIZABETH (NP)
Entity type:Individual
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First Name:ELIZABETH
Middle Name:
Last Name:DEMARTINI
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Gender:F
Credentials:NP
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Mailing Address - Street 1:330 BROOKLINE AVE BETH ISRAEL DEACONESS MEDICAL CENTER
Mailing Address - Street 2:ANESTHESIA, CRITICAL CARE AND PAIN MEDICINE YAMINS 219
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-3364
Mailing Address - Fax:617-667-5013
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:ANESTHESIA, CRITICAL CARE AND PAIN MEDICINE YAMINS 219
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-3364
Practice Address - Fax:617-667-5013
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2021-01-13
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Provider Licenses
StateLicense IDTaxonomies
MARN2277569367500000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care