Provider Demographics
NPI:1730336421
Name:CAMILLERI, ERLYNNE MYRA (RN)
Entity type:Individual
Prefix:MS
First Name:ERLYNNE
Middle Name:MYRA
Last Name:CAMILLERI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-1376
Mailing Address - Country:US
Mailing Address - Phone:413-739-3954
Mailing Address - Fax:413-785-1728
Practice Address - Street 1:160 HIGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1376
Practice Address - Country:US
Practice Address - Phone:413-739-3954
Practice Address - Fax:413-785-1728
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA283372163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health