Individual
MARILYN HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
239 CRANSTON ST, PROVIDENCE, RI 02907-2406
(401) 444-0580
(401) 444-0418
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPP14832
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH08882
—
RI
Enumeration date
10/31/2005
Last updated
04/09/2008
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