Provider Demographics
NPI:1063607521
Name:RITA MARTIN INC
Entity type:Organization
Organization Name:RITA MARTIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RNP
Authorized Official - Phone:401-723-5533
Mailing Address - Street 1:41 MENDON AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-2335
Mailing Address - Country:US
Mailing Address - Phone:401-723-5533
Mailing Address - Fax:401-723-3833
Practice Address - Street 1:254 PEARSE RD
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-1331
Practice Address - Country:US
Practice Address - Phone:401-723-5533
Practice Address - Fax:401-723-3833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI584363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty