Provider Demographics
NPI:1639461130
Name:BARRERA, ERICA V (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:V
Last Name:BARRERA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S MAIN ST
Mailing Address - Street 2:STE C
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5055
Mailing Address - Country:US
Mailing Address - Phone:956-686-0574
Mailing Address - Fax:686-686-3301
Practice Address - Street 1:801 S MAIN ST
Practice Address - Street 2:STE C
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5055
Practice Address - Country:US
Practice Address - Phone:956-686-0574
Practice Address - Fax:686-686-3301
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2016-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP117060363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX311116301Medicaid
TXTXB159261OtherWELLMED PTAN