Andrea M Ericksen
Student in an Organized Health Care Education/Training Program in South Boston, Massachusetts
1841572336- Practice location
- 58 Old Colony Ave, South Boston, MA 02127-2406
- Phone
- 617-268-1700
- Fax
- 617-268-1991
- Last updated
- September 12, 2011
Andrea M Ericksen is a Student in an Organized Health Care Education/Training Program based in South Boston, MA. Andrea M Ericksen practices in South Boston, MA. The NPI Number for Andrea M Ericksen is 1841572336. The current practice location address for Andrea M Ericksen is 58 Old Colony Ave, South Boston, MA 02127-2406 and can be reached out via phone at 617-268-1700 and via fax at 617-268-1991.
Provider Profile Details
- NPI Number
- 1841572336
- Provider Name
- Andrea M Ericksen
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 58 Old Colony Ave, South Boston, MA 02127-2406
- Phone Number
- 617-268-1700
- Fax Number
- 617-268-1991
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 12, 2011
- Last Update Date
- September 12, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 58 Old Colony Ave
South Boston, MA 02127-2406 - City
- South Boston
- State
- Massachusetts
- Zip
- 02127-2406
- Phone Number
- 617-268-1700
- Fax Number
- 617-268-1991
Provider Business Mailing Address Details
- Address
- 58 Old Colony Ave
South Boston, MA 02127-2406 - City
- South Boston
- State
- MA
- Zip
- 02127-2406
- Phone Number
- 617-268-1700
- Fax Number
- 617-268-1991
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Andrea M Ericksen?
The NPI number of Andrea M Ericksen is 1841572336. It was assigned on September 12, 2011 and is currently active in the NPPES registry.
What is the specialty of Andrea M Ericksen?
Andrea M Ericksen is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Andrea M Ericksen practice?
The practice location is 58 Old Colony Ave, South Boston, MA 02127-2406. The office can be reached at 617-268-1700 (phone) or 617-268-1991 (fax).
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 1841572336 directly on the NPPES registry website.