| Erase Haus Advanced Practice Nursing Corporation | |
|
1601 Mchenry Village Way Ste 5 Modesto CA 95350-4338 | |
| (209) 620-3216 | |
| Not Available |
| Full Name | Erase Haus Advanced Practice Nursing Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 1601 Mchenry Village Way Ste 5, Modesto, California |
| Authorized Official Name and Position | Kirstin Bray (OWNER) |
| Authorized Official Contact | 2094818634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erase Haus Advanced Practice Nursing Corporation 1601 Mchenry Village Way Ste 5 Modesto CA 95350-4338 Ph: (209) 620-3216 | Erase Haus Advanced Practice Nursing Corporation 1601 Mchenry Village Way Ste 5 Modesto CA 95350-4338 Ph: (209) 620-3216 |
| NPI Number | 1619898442 |
|---|---|
| Provider Enumeration Date | 07/25/2026 |
| Last Update Date | 07/25/2026 |
| Certification Date | 07/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619898442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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