Provider Demographics
NPI:1811507700
Name:RICHARD, ERIKA BARBOSA (AGNP-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:BARBOSA
Last Name:RICHARD
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:BARBOSA
Other - Last Name:RACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1417 MARGRAVE DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-8412
Mailing Address - Country:US
Mailing Address - Phone:919-737-5501
Mailing Address - Fax:
Practice Address - Street 1:1071 PEMBERTON HILL RD STE 102
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4268
Practice Address - Country:US
Practice Address - Phone:919-363-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC244069163W00000X
NCRICH-525DW363L00000X
NC5015002363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology