Provider Demographics
NPI:1104535202
Name:DECEW, ERIN EILEEN SCHUMACHER (FNP-C, RN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:EILEEN SCHUMACHER
Last Name:DECEW
Suffix:
Gender:F
Credentials:FNP-C, RN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:EILEEN
Other - Last Name:SCHUMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35 CUTTER ST # 1
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-3218
Mailing Address - Country:US
Mailing Address - Phone:310-245-6376
Mailing Address - Fax:
Practice Address - Street 1:1 WIDGER RD
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-2146
Practice Address - Country:US
Practice Address - Phone:781-631-5126
Practice Address - Fax:781-631-5175
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2348835363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse