Provider Demographics
NPI:1467836148
Name:COMERFORD, ERIN KATHLEEN (NP)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:COMERFORD
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 1:165 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-8900
Mailing Address - Country:US
Mailing Address - Phone:413-256-0421
Mailing Address - Fax:
Practice Address - Street 1:165 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002
Practice Address - Country:US
Practice Address - Phone:413-256-0421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY686510363LF0000X
NJ26NR17494600163W00000X
NY6865101163W00000X
DCRN1023590163W00000X
MARN2314728363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse