Martha Brough, RN
Registered Nurse, Community Health in Woonsocket, RI. Individual provider (NPI-1).
NPI number1063601136
StatusActive
Last updated in NPPESJun 2, 2009
Details
- NPI
- 1063601136
- Entity type
- Individual (NPI-1)
- Name
- Martha Brough
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2007
- Last updated
- Jun 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | RN21245 | RI | Yes |
| 163WD0400X | Registered Nurse, Diabetes Educator | RN21245 | RI |
Practice location
450 Clinton StThundermist Health Center
Woonsocket, RI 02895-3207
Phone 401-767-4100 · Fax 401-235-6899
Mailing address
450 Clinton StThundermist Health Center
Woonsocket, RI 02895-3207
Phone 401-767-4100 · Fax 401-235-6899
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