Individual
MS. MARY MARTHA POLVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
2 OLD COUNTY RD, EAST BAY CENTER, BARRINGTON, RI 02806-1602
(401) 246-1195
(401) 246-1311
Mailing address
2 OLD COUNTY RD, EAST BAY CENTER, BARRINGTON, RI 02806-1602
(401) 246-1195
(401) 246-1311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN34368
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MP52680
—
RI
Enumeration date
05/24/2006
Last updated
10/29/2007
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