Individual
LARISSA A MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BROOK ST, PROVIDENCE, RI 02906-2231
(401) 863-3953
Mailing address
450 BROOK ST, PROVIDENCE, RI 02906-2231
(401) 863-3953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN54411
RI
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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