Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LG0600X | Nurse Practitioner - Gerontology | RN2261460 | MA |
NPI | 1013519693 |
---|---|
Provider Name | Erin Elizabeth Egan |
First Address | Hanover, MA 02339-1436 |
Second Address | Hanover, MA 02339-1436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2020 |
Last Update Date | 18/10/2021 |