Provider Demographics
NPI:1205262185
Name:ERZUAH, FRANKLIN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:
Last Name:ERZUAH
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 NORTH MAIN ST
Mailing Address - Street 2:CVS MINUTE CLINIC
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569
Mailing Address - Country:US
Mailing Address - Phone:508-278-2456
Mailing Address - Fax:508-278-0196
Practice Address - Street 1:323 N MAIN ST
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-1757
Practice Address - Country:US
Practice Address - Phone:508-278-2456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2277856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily