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Individual
MS. MARY-ALICE RODSTROM ERNST
Active
Individual
MS. MARY-ALICE RODSTROM ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1119712
KY
163W00000X
Registered Nurse
333339
OH
363LA2200X
Adult Health Nurse Practitioner
10367
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
201050211NP
OR
363LA2200X
Adult Health Nurse Practitioner
333339-COA1
OH
363LF0000X
Family Nurse Practitioner
6004P
KY
Other
Enumeration date
04/01/2009
Last updated
09/29/2014
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