Provider Demographics
NPI:1144762592
Name:FERRICK, MICHAEL (DNP)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:FERRICK
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 ROCKLAND ST
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-3516
Mailing Address - Country:US
Mailing Address - Phone:508-961-9100
Mailing Address - Fax:
Practice Address - Street 1:87 ROCKLAND ST
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02748-3516
Practice Address - Country:US
Practice Address - Phone:508-961-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA278761363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner