Healthcare Provider Details

I. General information

NPI: 1326960055
Provider Name (Legal Business Name): ELIZABETH ANN FERREIRA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 FOLEY ST
SOMERVILLE MA
02145-1213
US

IV. Provider business mailing address

440 FOLEY ST
SOMERVILLE MA
02145-1213
US

V. Phone/Fax

Practice location:
  • Phone: 857-282-0777
  • Fax: 857-282-2386
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN267745
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: