NPI Code Details Logo

NPI 1992698294

NPI 1992698294 : EMILY NELMS : GRASS VALLEY, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992698294
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EMILY NELMS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/03/2025
-----------------------------------------------------
    Last Update Date     |    06/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10840 GILMORE WAY 
-----------------------------------------------------
    City                 |    GRASS VALLEY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95945-5409
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    530-273-4483
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14030 MYSTIC MINE RD 
-----------------------------------------------------
    City                 |    NEVADA CITY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95959-9028
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-731-8011
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YS0200X
-----------------------------------------------------
    Taxonomy Name        |    School Counselor
-----------------------------------------------------
    License Number       |    250090870
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.