Marie Marguerite Sample
CNM | Nurse Practitioner - Psych/Mental Health
18 Imperial Pl Unit 2d, Providence
Rhode Island, 02903-4642
401-727-4800
Marie Marguerite Sample is a Providence, Rhode Island based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Marie Marguerite Sample is 30769 for Psych/Mental Health NP in South Carolina. Her current practice location is 18 Imperial Pl Unit 2d, Providence. Patients can reach her at 401-727-4800. Marie Marguerite Sample is CNM with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1629185020.
Marie Marguerite Sample provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Marie Marguerite Sample speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Marie Marguerite Sample |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | CNM |
| Practice Address: | 18 Imperial Pl Unit 2d, Providence,
Rhode Island, 02903-4642 |
| Phone: | 401-727-4800 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| NPI Number: | 1629185020 |
| NPI Enumeration Date: | 23 Aug, 2006 |
| NPI Last Update On: | 04 May, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marie Marguerite Sample are as mentioned below.
| License Number | Specialization | State | Status | |
| 30769 | Psych/Mental Health NP | South Carolina | Primary | |
| CNM00178 | Advanced Practice Midwife | Rhode Island | Secondary | |
| 11987 | Advanced Practice Midwife | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Marie Marguerite Sample such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 726695410A | Medicaid | Georgia | |
| 582369659 | Other | Georgia | PRIVATE INS COMPANIES |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Marie Marguerite Sample
455 Toll Gate Rd,
Warwick, Rhode Island |
| Zip: | 02886-2759 |
| Phone Number: | 401-273-0641 |
| Fax Number: | 401-273-2919 |
Patients can reach Marie Marguerite Sample at
18 Imperial Pl Unit 2d, Providence, Rhode Island or can
call to book an appointment on 401-727-4800.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.