Individual
LAURA A. MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
375 WAMPANOAG TRL, SUITE 202A, RIVERSIDE, RI 02915-2232
(401) 649-4030
(401) 649-4031
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
(401) 443-4992
(401) 784-4902
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN00143
RI
363LA2200X
Adult Health Nurse Practitioner
RN2260568
MA
Other
Enumeration date
08/14/2012
Last updated
08/22/2016
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