Individual
LAUREEN J. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
19 FRIENDSHIP ST, SUITE130, NEWPORT, RI 02840-2200
(401) 845-2113
(401) 845-1529
Mailing address
19 FRIENDSHIP ST, SUITE130, NEWPORT, RI 02840-2200
(401) 845-2113
(401) 845-1529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP26065
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26422-2
RI BC/BS
RI
01
—
404617
RI BLUE CHIP
RI
05
—
LM15934
—
RI
Enumeration date
07/01/2005
Last updated
06/11/2015
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