MEDICARE: ERICA JOHANNA BARNICA WHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	F421627-01	NY

General Provider Information

NPI Number	:	1972204170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA JOHANNA BARNICA WHNP

Provider Business Mailing Address
First Line	:	10019 88TH AVE
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2102
Country	:	US
Telephone Number	:	347-545-1938
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 VETERANS AVE STE 103
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5605
Country	:	US
Telephone Number	:	718-209-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2023
Last Update Date	:	03/14/2023

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