Doctor Name: | ERICA ROMY MCISAAC |
NPI Number: | 1457530032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 234859 |
Business Practice Address: | 303 Main St West Yarmouth, MA - 026734661 |
Business Phone Number: | 5087710911 |
Business Fax Number: | 5087710025 |
Mailing Address: | 303 Main St, WEST YARMOUTH |
State: | MA |
Postal Code: | 026734661 |
Phone Number: | 5087710911 |
Fax Number: | 5087710025 |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 01/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 234859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |