Provider Demographics
NPI:1083378145
Name:NELSON, ERIKA BRIDGET (RN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:BRIDGET
Last Name:NELSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 ROGERS ST APT 516
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02142-1548
Mailing Address - Country:US
Mailing Address - Phone:508-328-5092
Mailing Address - Fax:
Practice Address - Street 1:50 ROGERS ST APT 516
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1548
Practice Address - Country:US
Practice Address - Phone:508-328-5092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2309296163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology