Healthcare Provider Details

I. General information

NPI: 1801277934
Provider Name (Legal Business Name): ELLA PRICE RN, NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2015
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 W HARRIS ST
EUREKA CA
95503-3927
US

IV. Provider business mailing address

6383 LEE ANN DR
EUREKA CA
95503-6679
US

V. Phone/Fax

Practice location:
  • Phone: 707-269-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN60176979
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3532398
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: