Individual
ERIN REGAN MALENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2347009
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2347009
MA
Other
Enumeration date
07/23/2021
Last updated
09/01/2025
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