Healthcare Provider Details

I. General information

NPI: 1548173339
Provider Name (Legal Business Name): ERIE HIRAYA CASPERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 8TH ST
ARCATA CA
95521-5770
US

IV. Provider business mailing address

1105 DEL NORTE ST APT 2
EUREKA CA
95501-2134
US

V. Phone/Fax

Practice location:
  • Phone: 707-826-8633
  • Fax:
Mailing address:
  • Phone: 707-826-8633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95392572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: