=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457228207
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIA VANESSA FERREIRA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2025
-----------------------------------------------------
Last Update Date | 10/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 SAINT MARGRETS DR
-----------------------------------------------------
City | PELHAM
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03076-2526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-755-7797
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 SAINT MARGRETS DR # 20
-----------------------------------------------------
City | PELHAM
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03076-2526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-755-7797
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246RM2200X
-----------------------------------------------------
Taxonomy Name | Medical Laboratory Technician
-----------------------------------------------------
License Number | 30D2325860
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------