Provider Demographics
NPI:1720975527
Name:ELIASON, ERINN ANNE (DNP-NA, CRNA)
Entity type:Individual
Prefix:
First Name:ERINN
Middle Name:ANNE
Last Name:ELIASON
Suffix:
Gender:F
Credentials:DNP-NA, CRNA
Other - Prefix:
Other - First Name:ERINN
Other - Middle Name:ANNE
Other - Last Name:SMALLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1521 LA GUARDIA CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-9371
Mailing Address - Country:US
Mailing Address - Phone:801-699-7981
Mailing Address - Fax:
Practice Address - Street 1:1600 EUREKA RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3027
Practice Address - Country:US
Practice Address - Phone:916-784-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002646367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered