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Contact Information

ERIN C BERRY, FNP
104 E MAIN ST
ANDERSON, MO64831-4103
 Phone: 417-845-6984
 Fax: 417-845-6976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ERIN C BERRY · (Female)

NPI Number 1912599960
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/10/2021
Last updated 06/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95016459
  • MO License # 2021022691
  • CA Medicaid THP11576F
Hospital affiliation(s)
  • OZARKS COMMUNITY HOSPITAL OF GRAVETTE - (Critical Access)
    1101 JACKSON STREET SW
    GRAVETTE, AR 72736
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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