IndividualActive
Martha Mance, NURSE PRACTITIONER
NPI 1083811376 · Pediatric Nurse Practitioner · Providence, RI
Provider details
- NPI number
- 1083811376
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- APRN00199 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Highland Ave Ste 302
Providence, RI 02906-2753
Phone: (401) 633-1100
Fax: (401) 633-0047
Approximate (ZIP-level) locationGet directions
Mailing address
1 Shadowbrook Ln
South Easton, MA 02375-1078
Additional practice locations (1)
- 101 Dudley StProvidence, RI 02905-2401Phone: (401) 274-1122
Registry dates
- Enumerated
- 2007-06-29
- Last updated
- 2019-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.