Provider Demographics
NPI:1013519693
Name:EGAN, ERIN ELIZABETH (NP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ELIZABETH
Last Name:EGAN
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 1:180 DILLINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1436
Mailing Address - Country:US
Mailing Address - Phone:617-835-8812
Mailing Address - Fax:
Practice Address - Street 1:120 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1653
Practice Address - Country:US
Practice Address - Phone:781-659-2342
Practice Address - Fax:781-659-2139
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2261460163WC0400X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WC0400XNursing Service ProvidersRegistered NurseCase Management