Provider Demographics
NPI:1992496038
Name:LUCIDO, ERIN E (RN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:LUCIDO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:JERMYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10 CARLISLE ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-2656
Mailing Address - Country:US
Mailing Address - Phone:508-284-1612
Mailing Address - Fax:
Practice Address - Street 1:10 CARLISLE ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-2656
Practice Address - Country:US
Practice Address - Phone:508-284-1612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2317064163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical