Healthcare Provider Details

I. General information

NPI: 1821996976
Provider Name (Legal Business Name): ERIN FREDETTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2026
Last Update Date: 10/28/2026
Certification Date: 10/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 FALMOUTH RD STE 2A
MASHPEE MA
02649-2611
US

IV. Provider business mailing address

23 EDGEWOOD DR
EAST FALMOUTH MA
02536-5922
US

V. Phone/Fax

Practice location:
  • Phone: 877-669-1746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number2385450
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: