Healthcare Provider Details

I. General information

NPI: 1881173912
Provider Name (Legal Business Name): ERICA BARB CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 COLUMBIA RD STE 200
WESTLAKE OH
44145-7215
US

IV. Provider business mailing address

PO BOX 933057
CLEVELAND OH
44193-0033
US

V. Phone/Fax

Practice location:
  • Phone: 440-808-1212
  • Fax: 440-808-2060
Mailing address:
  • Phone: 440-879-0081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.023264
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: