Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marian E Idahosa

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1962973164

Marian E Idahosa is a Nurse Practitioner in Woonsocket, Rhode Island. Qualified in 2011, 15 years ago. Practices with Supportive Care I of Rhode Island PC, a 54-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
15
Licensed in
RI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1054 Cass Ave
Woonsocket, RI 02895-4935
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1054 Cass Ave, Woonsocket, RI 02895-4935 — (186) 638-9272

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN01982 (RI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN49908 (RI)

Record details

NPI number1962973164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2018
Last updated in NPPESFebruary 16, 2025
Certification dateFebruary 16, 2025
Mailing address1054 Cass Avenue, Woonsocket, RI 02895-5947

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Supportive Care I Of Rhode Island Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Woonsocket