Provider Demographics
NPI:1861690273
Name:NIELSEN, ERIN (MS)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:YOKOYAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1905 MAX CT
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-5951
Mailing Address - Country:US
Mailing Address - Phone:805-660-4250
Mailing Address - Fax:
Practice Address - Street 1:13352 CANTARA STREET
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402
Practice Address - Country:US
Practice Address - Phone:818-375-2073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS