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NPI 1487521936

IndividualActive

Aidan Ericksen, CCMA

NPI 1487521936 · Technician · Grass Valley, CA

Provider details

NPI number: 1487521936
Entity type: Individual
Primary specialty: TechnicianNursing Service Related Providers
Credential: CCMA
Sex: Male
Sole proprietor: No
License: J8R9A2N2 (CA)

Practice location

180 Sierra College Dr

Grass Valley, CA 95945-5768

Phone: (530) 273-9541

More CA providers

Mailing address

180 Sierra College Dr

Grass Valley, CA 95945-5768

Registry dates

Enumerated: 2025-10-20
Last updated: 2025-10-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aidan Ericksen, CCMA — NPI 1487521936, Grass Valley, CA | NPI Central