Individual
INGRID E ERIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
840 HARRISON AVE, MENINO 4, BOSTON, MA 02118-2905
(617) 414-4511
(617) 414-3171
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
147096
MA
Other
Enumeration date
04/30/2009
Last updated
07/06/2015
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