Provider Demographics
NPI:1437487204
Name:ERRIE, ROGERE LUCIEN (NP)
Entity Type:Individual
Prefix:MRS
First Name:ROGERE
Middle Name:LUCIEN
Last Name:ERRIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4036
Mailing Address - Country:US
Mailing Address - Phone:978-256-7519
Mailing Address - Fax:
Practice Address - Street 1:34 PORTER RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-4036
Practice Address - Country:US
Practice Address - Phone:978-256-7519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-06
Last Update Date:2009-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN257244363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily