Individual
MARTHA LAROSE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
258 W MAIN ST, MILLBURY, MA 01527-1423
(508) 865-0262
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN115845
MA
Other
Enumeration date
08/12/2005
Last updated
08/19/2009
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