Individual
MARTHA J MANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 HIGHLAND AVE STE 302, PROVIDENCE, RI 02906-2753
(401) 633-1100
(401) 633-0047
Mailing address
1 SHADOWBROOK LN, SOUTH EASTON, MA 02375-1078
(508) 230-7288
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN00199
RI
Other
Enumeration date
06/29/2007
Last updated
02/15/2019
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