Gian Gizelle Alconcel Grasparil

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Eureka, CA

NPI 1902452287 · NPPES record last updated Aug 13, 2019

Key facts

NPI
1902452287
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
95026070 (CA)
Practice address
720 Wood St
Eureka, CA 95501-4413
Phone
(707) 267-2990
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
Yes

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
95026070CAMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95026070 CA Yes

Addresses

Primary practice location

720 Wood St
Eureka, CA 95501-4413

Mailing address

2407 Nihi St
Honolulu, HI 96819-3738

Other providers in Eureka, CA

All providers in Eureka, CA · Psychiatric/Mental Health Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.