Provider Demographics
NPI:1881618221
Name:ERIKSSON-CAPES, BARBARA J (NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:ERIKSSON-CAPES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7406 FERGESON CT NE
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-7018
Mailing Address - Country:US
Mailing Address - Phone:218-444-2308
Mailing Address - Fax:
Practice Address - Street 1:1100 38TH ST NW
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-5107
Practice Address - Country:US
Practice Address - Phone:218-751-5430
Practice Address - Fax:218-759-5880
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1051566363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNQ64559Medicare UPIN