Healthcare Provider Details

I. General information

NPI: 1881653905
Provider Name (Legal Business Name): ERICA A DEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA PUGLIELLI NP

II. Dates (important events)

Enumeration Date: 03/18/2006
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 ERDMAN WAY SUITE 101
LEOMINSTER MA
01453
US

IV. Provider business mailing address

79 ERDMAN WAY SUITE 101
LEOMINSTER MA
01453
US

V. Phone/Fax

Practice location:
  • Phone: 978-537-4805
  • Fax: 978-537-2185
Mailing address:
  • Phone: 978-537-4805
  • Fax: 978-537-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN233869
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN233869
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: