Healthcare Provider Details

I. General information

NPI: 1326971441
Provider Name (Legal Business Name): ERICA HURTADO CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WEBSTER AVE APT 207
SOMERVILLE MA
02143-3336
US

IV. Provider business mailing address

25 WEBSTER AVE APT 207
SOMERVILLE MA
02143-3336
US

V. Phone/Fax

Practice location:
  • Phone: 203-979-3445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number202618126
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number202631475
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: