Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN284190 | MA |
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN284190 | MA |
NPI | 1003246190 |
---|---|
Provider Name | Erin E Dacey |
First Address | Fairhaven, MA 02719-5252 |
Second Address | Fall River, MA 02720-3703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2013 |
Last Update Date | 25/03/2021 |