Active NPIIndividual provider

Breanne L St Martin, FNP-C

Nurse Practitioner, Family in Providence, Rhode Island

NPI Number1053938886
Practice location
33 Staniford St Fl 2, Providence, RI 02905-3105
Fax
—
Last updated
December 23, 2021

Breanne Leigh St Martin is a Nurse Practitioner, Family based in Providence, RI. Breanne Leigh St Martin practices in Providence, RI and has the professional credentials of FNP-C. The NPI Number for Breanne Leigh St Martin is 1053938886 and holds a License No. APRN02363 (RI). The current practice location address for Breanne Leigh St Martin is 33 Staniford St Fl 2, Providence, RI 02905-3105 and can be reached out via phone at 401-421-8800.

Provider Profile Details

NPI Number
1053938886
Provider Name
Breanne Leigh St Martin
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
33 Staniford St Fl 2, Providence, RI 02905-3105
Phone Number
401-421-8800
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2020
Last Update Date
December 23, 2021
Certification Date
December 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Staniford St Fl 2
Providence, RI 02905-3105
Zip
02905-3105
Phone Number
401-421-8800
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
55 Deacon Ave
Warwick, RI 02886-5103
City
Warwick
State
RI
Zip
02886-5103

License Information

License Number
APRN02363
License State
RI
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Breanne L St Martin, FNP-C?

The NPI number of Breanne L St Martin, FNP-C is 1053938886. It was assigned on June 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Breanne L St Martin, FNP-C?

Breanne L St Martin, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number APRN02363.

Where does Breanne L St Martin, FNP-C practice?

The practice location is 33 Staniford St Fl 2, Providence, RI 02905-3105. The office can be reached at 401-421-8800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053938886 directly on the NPPES registry website.

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