Erica Gash

Individual provider Active NPI Registered Nurse · Winterhaven, CA

NPI 1366565111 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1366565111
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN127937 (AZ)
Practice address
1 Indian Hill Road
Winterhaven, CA 92283
Phone
(760) 572-4147
Fax
(760) 572-4153
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN127937AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emg Diagnostic Testing Services LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN127937 AZ Yes

Addresses

Primary practice location

1 Indian Hill Road
Winterhaven, CA 92283

Mailing address

PO Box 1368
Yuma, AZ 85366-1368
Phone (760) 572-4147

Other providers in Winterhaven, CA

All providers in Winterhaven, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.