Healthcare Provider Details

I. General information

NPI: 1891584926
Provider Name (Legal Business Name): ERIN ELIZABETH RICHARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 MILL ST
BELMONT MA
02478-1048
US

IV. Provider business mailing address

90 GLENWOOD RD APT 1
SOMERVILLE MA
02145-2606
US

V. Phone/Fax

Practice location:
  • Phone: 617-855-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2343107
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: