MARTHA J MANCE (NPI# 1083811376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083811376 |
| Entity Type | Individual |
| Full Name | MARTHA J MANCE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
100 Highland Ave Ste 302 Providence RI 02906-2753 |
| Mailing Address |
1 Shadowbrook Ln South Easton MA 02375-1078 |
| Practice Telephone | 4016331100 |
| Practice Fax Number | 4016330047 |
| Mailing Telephone | 5082307288 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN00199 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Dudley St, Providence, RI 029052401 | 4012741122 |
| Street Address |
100 HIGHLAND AVE STE 302 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225205206 | Sarah M Gay | Nurse Practitioner | 1 Hoppin St Ste 304, Providence, RI 02903-4141 | 2008-05-09 |
| 1255387189 | Janet Trotta Pardy | Nurse Practitioner | 593 Eddy Street Mph 131, Rhode Island Hospital, Providence, RI 02903 | 2006-05-25 |
| 1487210068 | Stephanie Watt | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-19 |
| 1639689060 | Sarah Pothier | Nurse Practitioner | 593 Eddy St, Providence, RI 02903 | 2017-10-12 |
| 1083154850 | Miranda Mitchell | Nurse Practitioner | 593 Eddy St, Adolescent Medicine, Providence, RI 02903-4923 | 2017-02-27 |
| 1588112858 | Christina Martins | Nurse Practitioner | 593 Eddy St, Claverick 2, Providence, RI 02903-4923 | 2016-09-15 |
| 1063882538 | Tina M Taylor | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2015-09-28 |
| 1619350030 | Michaela Procaccini | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2015-07-02 |
| 1902292899 | University Pediatrics Dba Children's Medical Group | Nurse Practitioner | 100 Highland Ave, Suite 201, Providence, RI 02906-2740 | 2015-04-08 |
| 1568878627 | Elizabeth Noreen Mintzes | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2014-07-09 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on MARTHA J MANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.