Individual
ERICA EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 RIVER RD, ABERDEEN, OH 45101-9372
(614) 266-5517
Mailing address
1775 RIVER RD, ABERDEEN, OH 45101-9372
(614) 266-5517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN.CNP.024540
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024540
OH
Other
Enumeration date
04/15/2019
Last updated
06/01/2019
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