Provider Demographics
NPI:1861809261
Name:FERREIRA, ELAINE CAMILO (FNP)
Entity type:Individual
Prefix:MISS
First Name:ELAINE
Middle Name:CAMILO
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D4 COLONIAL DR
Mailing Address - Street 2:UNIT 1
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-7338
Mailing Address - Country:US
Mailing Address - Phone:978-866-7790
Mailing Address - Fax:
Practice Address - Street 1:170 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2706
Practice Address - Country:US
Practice Address - Phone:978-685-4925
Practice Address - Fax:978-682-3637
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2260361363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily