Individual
ETHAN RAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
141 SUNSET DR, BELLEVUE, OH 44811-1116
(330) 464-1046
Mailing address
141 SUNSET DR, BELLEVUE, OH 44811-1116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.428684
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0030778
OH
Other
Enumeration date
11/08/2021
Last updated
04/08/2022
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