Provider Demographics
NPI:1649844622
Name:FARIA, ERIKA (PA-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:FARIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3843 RIO VISTA DR STE 2300
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-3380
Mailing Address - Country:US
Mailing Address - Phone:719-365-3700
Mailing Address - Fax:
Practice Address - Street 1:3843 RIO VISTA DR STE 2300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-3380
Practice Address - Country:US
Practice Address - Phone:719-365-3700
Practice Address - Fax:719-365-3701
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-11675363A00000X
COMSPA.0000016363A00000X
CA59434363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant