Individual
GLORIA ERNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-3134
Mailing address
4736 HASE ST, EL PASO, TX 79906-4005
(915) 742-6507
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN195878
GA
Other
Enumeration date
05/06/2021
Last updated
07/10/2023
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