Individual
ANTONIA ARTISE ERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(740) 392-0167
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(740) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053894
PA
363AS0400X
Surgical Physician Assistant
Primary
50.004042
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113127
—
OH
01
—
H392390
MEDICARE PTAN
OH
Enumeration date
08/07/2009
Last updated
03/07/2023
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