Healthcare Provider Details

I. General information

NPI: 1699641811
Provider Name (Legal Business Name): SCOTT ERANIO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 SANDWICH ST
PLYMOUTH MA
02360-2183
US

IV. Provider business mailing address

17 PEARL ST
MIDDLEBORO MA
02346-2230
US

V. Phone/Fax

Practice location:
  • Phone: 508-746-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN2329292
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: