Martha J Mance, NURSE PRACTITIONER
NPI #1083811376 in Providence, Rhode Island
Provider Information
- NPI Number
- 1083811376
- Entity Type
- Individual
- Name
- Martha J Mance, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jun 29, 2007
- Last Updated
- Feb 15, 2019
Practice Location
- Address
- 100 HIGHLAND AVE STE 302
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-2753
- Phone
- (401) 633-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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