Sample, Marie Marguerite

Sample, Marie Marguerite is an individual health care provider with primary practice located at 18 Imperial Pl Unit 2D , Providence RI 02903-4642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sample, Marie Marguerite can be contacted via phone (401) 727-4800.

Contact Information

Primary practice address
18 Imperial Pl Unit 2D Providence RI 02903-4642
Phone: (401) 727-4800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 11987 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM00178 Rhode Island

Profile Details

NPI number 1629185020
LBN Legal business name Sample, Marie Marguerite
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629185020 NPPES
Georgia MEDICAID 726695410A
Georgia Other 582369659

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