Healthcare Provider Details

I. General information

NPI: 1952294514
Provider Name (Legal Business Name): HANA MARIA TAMURA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 NATE WHIPPLE HWY STE 102
CUMBERLAND RI
02864-1422
US

IV. Provider business mailing address

175 NATE WHIPPLE HWY STE 102
CUMBERLAND RI
02864-1422
US

V. Phone/Fax

Practice location:
  • Phone: 401-334-5437
  • Fax: 401-334-3571
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN04990
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number283043
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: