Individual
ERIN K. MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
195 COLLYER ST STE 201, PROVIDENCE, RI 02904-1869
(401) 272-7799
(401) 453-9078
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00955
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4948701
AETNA
FL
Enumeration date
05/11/2017
Last updated
06/07/2024
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