Provider Demographics
NPI:1851097844
Name:NGARUIYA, ERMA
Entity Type:Individual
Prefix:
First Name:ERMA
Middle Name:
Last Name:NGARUIYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WATSON ST APT 6
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-3580
Mailing Address - Country:US
Mailing Address - Phone:978-319-7072
Mailing Address - Fax:
Practice Address - Street 1:14 WATSON ST APT 6
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-3580
Practice Address - Country:US
Practice Address - Phone:978-319-7072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)