Individual ProviderBarry G EricksonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(385) 312-2813PECOS EnrollmentBased on the most recent information from CMS, provider Barry G Erickson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1295987873Provider TypeIndividualFull NameErickson, Barry GCredentialAPRNGenderMaleSole ProprietorNoEnumeration Date10/15/2008Last Updated7/28/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(385) 312-2813FaxUnlisted FaxMailing LocationMailing Address9900 Bren Rd E, Minnetonka, MN 55343-9664PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense8467673-4405Utah