Individual
SUSAN ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1320 19TH AVE NW, CLINTON, IA 52732-2752
(563) 243-5633
(563) 243-9567
Mailing address
1320 19TH AVE NW, CLINTON, IA 52732-2752
(563) 243-5633
(563) 243-9567
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
100529
IA
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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