Provider Demographics
NPI:1801060322
Name:CHAFFEY, ERICA (PA-C)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:CHAFFEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:CHAFFEY
Other - Last Name:CASTORINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-0688
Mailing Address - Country:US
Mailing Address - Phone:207-351-1638
Mailing Address - Fax:
Practice Address - Street 1:413 ALFRED ST
Practice Address - Street 2:PARK ONE ELEVEN
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3742
Practice Address - Country:US
Practice Address - Phone:207-284-8638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical