MISS AISHA AMBER ERVIN RN NPI 1811078074

NPI Information

NPI: 1811078074
Provider Name: MISS AISHA AMBER ERVIN, RN
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
920 GRAND AVE
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 499-6426
Get Directions

MISS Aisha Amber Ervin, RN is a community health registered nurse in San Rafael, CA. MISS Aisha Amber Ervin, RN NPI is 1811078074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

920 GRAND AVE
SAN RAFAEL, CA
ZIP 94901-506
Phone: (415) 499-6426

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	664991	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	69495	OTHER	CALIFORNIA	PUBLIC HEALTH NURSE
2	664991	OTHER	CALIFORNIA	REGISTERED NURSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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