Healthcare Provider Details

I. General information

NPI: 1427242577
Provider Name (Legal Business Name): MISS REGINA ERAMAA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2007
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1266 DRESSLERVILLE RD
GARDNERVILLE NV
89460-8967
US

IV. Provider business mailing address

1418 SUGAR MAPLE AVE
GARDNERVILLE NV
89410-7377
US

V. Phone/Fax

Practice location:
  • Phone: 775-265-8622
  • Fax:
Mailing address:
  • Phone: 831-419-2450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2798-R
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: