Individual
DR. ERICCA S BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
104569
MT
363LP0200X
Pediatric Nurse Practitioner
Primary
104569
MT
363LP0200X
Pediatric Nurse Practitioner
2007020392
MO
363LP0200X
Pediatric Nurse Practitioner
45442
KS
363LP0200X
Pediatric Nurse Practitioner
751749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K5202
MEDICARE
TX
Enumeration date
05/27/2005
Last updated
09/22/2025
Update your record
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