Healthcare Provider Details

I. General information

NPI: 1548144546
Provider Name (Legal Business Name): ERIN MARIE TROY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ARMISTICE BLVD
PAWTUCKET RI
02860-3242
US

IV. Provider business mailing address

100 PEQUOT AVE
CUMBERLAND RI
02864-5919
US

V. Phone/Fax

Practice location:
  • Phone: 401-722-3313
  • Fax:
Mailing address:
  • Phone: 774-219-9887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0500X
TaxonomyHemodialysis Registered Nurse
License NumberRN62883
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: