Individual
ERICA LEE MADARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
31 HALL DR, AMHERST, MA 01002-2751
(413) 256-8561
Mailing address
220 LATHROP ST, SOUTH HADLEY, MA 01075-3309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2301213
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110157382A
—
MA
Enumeration date
06/21/2019
Last updated
01/23/2020
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