Individual
MARTHA BROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
450 CLINTON ST, THUNDERMIST HEALTH CENTER, WOONSOCKET, RI 02895-3207
(401) 767-4100
(401) 235-6899
Mailing address
450 CLINTON ST, THUNDERMIST HEALTH CENTER, WOONSOCKET, RI 02895-3207
(401) 767-4100
(401) 235-6899
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN21245
RI
163WD0400X
Diabetes Educator Registered Nurse
RN21245
RI
Other
Enumeration date
10/15/2007
Last updated
06/02/2009
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