Elicia Roy, RN, BSN
Individual provider Active NPI Registered Nurse · Southwick, MA
NPI 1245914647 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1245914647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 211050 (MA)
- Practice address
- 2 Eden HL
Southwick, MA 01077-9783 - Phone
- (413) 977-9412
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211050 | MA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 211050 | MA | Yes |
Addresses
Primary practice location
2 Eden HL
Southwick, MA 01077-9783
Mailing address
2 Eden HL
Southwick, MA 01077-9783
Phone (413) 977-9412
Other providers in Southwick, MA
- Sally M Pietroniro
- Michelle Ann Provencher
- Nancy Marie Psholka
- Regina Rivard
- Laurie J Roule
- Safetynet Solutions, Inc
- Samuel J Mazza M.D. Inc.
- Carolyn A Scheer
- Alan Schwartz
- Ana Sherwood
All providers in Southwick, MA · Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.