Healthcare Provider Details

I. General information

NPI: 1447435169
Provider Name (Legal Business Name): MS. DELLA J EIERMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date: 10/30/2018
Reactivation Date: 11/15/2018

III. Provider practice location address

995 HELLING WAY
NEVADA CITY CA
95959-8619
US

IV. Provider business mailing address

995 HELLING WAY
NEVADA CITY CA
95959-8619
US

V. Phone/Fax

Practice location:
  • Phone: 530-265-7222
  • Fax: 530-265-9376
Mailing address:
  • Phone: 530-265-7222
  • Fax: 530-265-9376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: