Provider Demographics
NPI:1548914765
Name:RIFFLE-BARB, ERIKA LYNNE (RN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNNE
Last Name:RIFFLE-BARB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 W MAIN ST APT D
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-8149
Mailing Address - Country:US
Mailing Address - Phone:301-748-8211
Mailing Address - Fax:
Practice Address - Street 1:405 W MAIN ST APT D
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:MD
Practice Address - Zip Code:21769-8149
Practice Address - Country:US
Practice Address - Phone:301-748-8211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR222074163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR222074OtherSTATE OF MARYLAND BOARD OF NURSING