Healthcare Provider Details

I. General information

NPI: 1871078808
Provider Name (Legal Business Name): HEATHER ELIZABETH D'ERILEEN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER ELIZABETH CHAMBERLAIN

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 BOSTON PROVIDENCE TPKE
NORWOOD MA
02062-5055
US

IV. Provider business mailing address

1337 BOSTON PROVIDENCE TPKE
NORWOOD MA
02062-5055
US

V. Phone/Fax

Practice location:
  • Phone: 781-725-2225
  • Fax: 781-725-2226
Mailing address:
  • Phone: 781-725-2225
  • Fax: 781-725-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60475412
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN10029971
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN10029971
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60903132
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: