MEDICARE: LAUREN E MARVELL NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN01285	RI
2	363LF0000X	Family Nurse Practitioner	APRN01285	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740216381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN E MARVELL NP

Provider Business Mailing Address
First Line	:	PO BOX 229
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02880-0229
Country	:	US
Telephone Number	:	401-788-3929
Fax Number	:	401-788-3939

Provider Business Practice Location Address
First Line	:	70 KENYON AVE STE 280
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4253
Country	:	US
Telephone Number	:	401-284-1212
Fax Number	:	401-788-8730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	10/23/2025

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