Individual
ERIN JANE JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 443-2781
(508) 792-1547
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN285024
MA
363LF0000X
Family Nurse Practitioner
RN285024
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088082A
—
MA
Enumeration date
12/02/2010
Last updated
11/16/2020
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