Ervin, Aisha Amber

Ervin, Aisha Amber is an individual health care provider with primary practice located at 920 Grand Ave , San Rafael CA 94901-3506. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Ervin, Aisha Amber can be contacted via phone (415) 499-6426.

Contact Information

Primary practice address
920 Grand Ave San Rafael CA 94901-3506
Phone: (415) 499-6426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 664991 California

Profile Details

NPI number 1811078074
LBN Legal business name Ervin, Aisha Amber
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811078074 NPPES
California Other 69495 PUBLIC HEALTH NURSE
California Other 664991 PUBLIC HEALTH NURSE

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