Individual
MRS. MARTHA G CHARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN01800
RI
363LF0000X
Family Nurse Practitioner
Primary
RN213217
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110197544A
—
MA
Enumeration date
06/01/2018
Last updated
12/28/2023
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