Healthcare Provider Details

I. General information

NPI: 1700409893
Provider Name (Legal Business Name): CASEY ANNE ERELLI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 UNIVERSITY DR
AMHERST MA
01002-2247
US

IV. Provider business mailing address

22 NAGLER CROSS RD
HUNTINGTON MA
01050-9624
US

V. Phone/Fax

Practice location:
  • Phone: 413-461-3530
  • Fax: 413-461-3532
Mailing address:
  • Phone: 413-455-8755
  • Fax: 413-443-4488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: