Provider Demographics
NPI:1649826678
Name:REIMER, ERRIN BRIANNA (MSN, NNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ERRIN
Middle Name:BRIANNA
Last Name:REIMER
Suffix:
Gender:F
Credentials:MSN, NNP-BC
Other - Prefix:MS
Other - First Name:ERRIN
Other - Middle Name:BRIANNA
Other - Last Name:NIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, NNP-BC
Mailing Address - Street 1:3020 CHILDRENS WAY # MC5008
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4223
Mailing Address - Country:US
Mailing Address - Phone:858-966-5818
Mailing Address - Fax:
Practice Address - Street 1:3010 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:858-966-5818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1631456163WN0002X
COAPN.0994954-NP363LN0005X
CA95013162363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care