Ericca S Berry is a Pediatrics in Glendive, Montana. Ericca S Berry practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ericca S Berry is 1659374130. The last update date is 2022-07-21.
Ericca S Berry's current location address is 107 Dilworth St, Glendive, Montana. You can contact this provider via phone number 4063458901. The mailing address for Ericca S Berry is 107 Dilworth St, Glendive, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ericca S Berry |
|---|---|
| Address | 107 Dilworth St, Glendive, Montana |
| Phone Number | 4063458901 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP, CPNP |
NPI Number Detail
| NPI Number | 1659374130 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 107 Dilworth St |
|---|---|
| City | Glendive |
| State | Montana (MT) |
| Post Code | 5933020530 |
| Phone Number | 4063458901 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 45442 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8K5202 | TX | MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ericca S Berry?
The Ericca S Berry has been issued the NPI (National Provider Identifier) 1659374130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Ericca S Berry?
The Ericca S Berry is situated at 107 Dilworth St, in the city of Glendive, state of MT, with the zip code 5933020530.
What is the Ericca S Berry's specialty and taxonomy code?
The Ericca S Berry's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Ericca S Berry receive the assignment of its 1659374130 from the Centers for Medicare & Medicaid Services?
The Ericca S Berry was issued its 1659374130 by the Centers for Medicare & Medicaid Services on 2005-05-27.
When was the Ericca S Berry's information last updated?
The Ericca S Berry's information was last updated on 2022-07-21.