Individual
SAMANTHA MANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 793-2500
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN56041
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN02764
RI
Other
Enumeration date
07/09/2021
Last updated
10/12/2021
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