Basic Information
| Provider Information | |||||||||
| NPI: | 1255916946 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARLOS | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | |||||||||
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| Credential: | BSN RN IBCLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 725 NORTH STREET | ||||||||
| Address2: | |||||||||
| City: | PITTSFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4134472114 | ||||||||
| FaxNumber: | 4134472612 | ||||||||
| Practice Location | |||||||||
| Address1: | 725 NORTH STREET | ||||||||
| Address2: | |||||||||
| City: | PITTSFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4134472114 | ||||||||
| FaxNumber: | 4134472612 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2021 | ||||||||
| LastUpdateDate: | 03/14/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/14/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WL0100X | 026.0039982 | VT | N | Nursing Service Providers | Registered Nurse | Lactation Consultant | 163WL0100X | RN279545 | MA | Y | Nursing Service Providers | Registered Nurse | Lactation Consultant |
No ID Information.