Provider Demographics
NPI:1376433490
Name:ERAZO, ORBELINA MARGARITA
Entity type:Individual
Prefix:
First Name:ORBELINA
Middle Name:MARGARITA
Last Name:ERAZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MULBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-2520
Mailing Address - Country:US
Mailing Address - Phone:781-858-1159
Mailing Address - Fax:
Practice Address - Street 1:86 TAUNTON ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2131
Practice Address - Country:US
Practice Address - Phone:508-928-5211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2319538363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily