Provider Demographics
NPI:1063016657
Name:CANNEY, ERICA LISA (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LISA
Last Name:CANNEY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 UPTON LN
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-2656
Mailing Address - Country:US
Mailing Address - Phone:781-883-0130
Mailing Address - Fax:
Practice Address - Street 1:9 UPTON LN
Practice Address - Street 2:
Practice Address - City:BOXFORD
Practice Address - State:MA
Practice Address - Zip Code:01921-2656
Practice Address - Country:US
Practice Address - Phone:781-883-0130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2261468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily