Provider Demographics
NPI:1043758634
Name:ERAMILE, KARINE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:ERAMILE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 E BROAD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2166
Mailing Address - Country:US
Mailing Address - Phone:917-573-3508
Mailing Address - Fax:
Practice Address - Street 1:29 E BROAD ST APT 1
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2166
Practice Address - Country:US
Practice Address - Phone:917-573-3508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY508146-1372600000X
NJ26NR17449800372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion