=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821996976
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN FREDETTE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/28/2026
-----------------------------------------------------
Last Update Date | 10/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 133 FALMOUTH RD STE 2A
-----------------------------------------------------
City | MASHPEE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02649-2611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-669-1746
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23 EDGEWOOD DR
-----------------------------------------------------
City | EAST FALMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02536-5922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LS0200X
-----------------------------------------------------
Taxonomy Name | School Nurse Practitioner
-----------------------------------------------------
License Number | 2385450
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------