Provider Demographics
NPI:1467639823
Name:ACKLAND, ERIN T (APRN,BC CNS, NP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:T
Last Name:ACKLAND
Suffix:
Gender:F
Credentials:APRN,BC CNS, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2068
Mailing Address - Country:US
Mailing Address - Phone:781-834-0747
Mailing Address - Fax:781-834-0763
Practice Address - Street 1:475 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2068
Practice Address - Country:US
Practice Address - Phone:781-834-0747
Practice Address - Fax:781-834-0763
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203553163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult