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NPI Code Detail

MEDICARE: ERICA ROMY MCISAAC NP

MEDICARE:   ERICA ROMY MCISAAC  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner234859MA

General Provider Information

NPI Number : 1457530032
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA ROMY MCISAAC NP
Provider Business Mailing Address
First Line : 303 MAIN ST
Second Line :
City : WEST YARMOUTH
State : MA
Zip : 02673-4661
Country : US
Telephone Number : 508-771-0911
Fax Number : 508-771-0025
Provider Business Practice Location Address
First Line : 303 MAIN ST
Second Line :
City : WEST YARMOUTH
State : MA
Zip : 02673-4661
Country : US
Telephone Number : 508-771-0911
Fax Number : 508-771-0025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2007
Last Update Date : 01/24/2008

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