Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Timothy Ericksen

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1073465910

Robert Timothy Ericksen is an Addiction (Substance Use Disorder) Registered Nurse in Scotts Valley, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

3192 Glen Canyon Rd
Scotts Valley, CA 95066-4916
Phone: (831) 226-1214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 95139605 (CA)

Record details

NPI number1073465910
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address3192 Glen Canyon Rd, Scotts Valley, CA 95066-4916

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