Healthcare Provider Details

I. General information

NPI: 1437081585
Provider Name (Legal Business Name): ERIKA NELSON MS PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 REFUGIO VALLEY RD
HERCULES CA
94547-1554
US

IV. Provider business mailing address

1900 REFUGIO VALLEY RD
HERCULES CA
94547-1554
US

V. Phone/Fax

Practice location:
  • Phone: 510-231-1429
  • Fax:
Mailing address:
  • Phone: 510-948-3741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: