# MRS. ERIN CALDWELL BERRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730167131
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 0110002107 | VA | Yes |

## Other

- **Enumeration date:** 01/05/2006
- **Last updated:** 08/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1730167131 | MEDICAID QMB | VA |
| 01 | — | 371194700 | BLACK LUNG | VA |
| 01 | — | 540506332199 | TRICARE/CHAMPUS | VA |
| 01 | — | P00822162 | RAILROAD MEDICARE | VA |