Provider Demographics
NPI:1639530579
Name:GIERKE, CIEL (RN, MA)
Entity Type:Individual
Prefix:MS
First Name:CIEL
Middle Name:
Last Name:GIERKE
Suffix:
Gender:F
Credentials:RN, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 DIAMOND BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5750
Mailing Address - Country:US
Mailing Address - Phone:925-483-2223
Mailing Address - Fax:925-826-5878
Practice Address - Street 1:2280 DIAMOND BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5750
Practice Address - Country:US
Practice Address - Phone:925-483-2223
Practice Address - Fax:925-826-5878
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA368856163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health