Healthcare Provider Details

I. General information

NPI: 1417013228
Provider Name (Legal Business Name): ERICA LIEBERMANN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 MAIN ST STE C
SPRINGFIELD MA
01107-1187
US

IV. Provider business mailing address

61 LOCUST ST
NORTHAMPTON MA
01060-2018
US

V. Phone/Fax

Practice location:
  • Phone: 413-794-8484
  • Fax: 413-794-8477
Mailing address:
  • Phone: 413-584-2303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number236706
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: