Healthcare Provider Details

I. General information

NPI: 1124955562
Provider Name (Legal Business Name): ERICKA ANDRADE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 APPLE WAY APT 3301
MARSHFIELD MA
02050-3173
US

IV. Provider business mailing address

3 APPLE WAY APT 3301
MARSHFIELD MA
02050-3173
US

V. Phone/Fax

Practice location:
  • Phone: 508-649-4047
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN94392
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: