Provider Demographics
NPI:1255055521
Name:SOARES, ERYKA LYNN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ERYKA
Middle Name:LYNN
Last Name:SOARES
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:271 CAREW STREET
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2377
Mailing Address - Country:US
Mailing Address - Phone:413-748-9200
Mailing Address - Fax:413-748-9292
Practice Address - Street 1:271 CAREW STREET
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2377
Practice Address - Country:US
Practice Address - Phone:137-489-2004
Practice Address - Fax:413-748-9292
Is Sole Proprietor?:No
Enumeration Date:2022-09-30
Last Update Date:2024-02-27
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Provider Licenses
StateLicense IDTaxonomies
MAPA100071363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant