Individual
MANJU SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
164 SUMMIT AVE, DEPARTMENT OF CARDIOLOGY, PROVIDENCE, RI 02906-2853
(401) 793-4319
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01215
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP31352
NURSE PRACTITIONER
RI
Enumeration date
04/06/2007
Last updated
03/22/2019
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