# MS. MARY-ALICE RODSTROM ERNST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396987608
- **Gender:** F
- **Credential:** A.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1119712 | KY | — |
| 163W00000X | Registered Nurse | 333339 | OH | — |
| 363LA2200X | Adult Health Nurse Practitioner | 10367 | OH | — |
| 363LA2200X | Adult Health Nurse Practitioner | 201050211NP | OR | Yes |
| 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