Individual
KRYSTAL JO ETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4690 BUTLER RD, ROSEVILLE, OH 43777-9719
(740) 252-1934
Mailing address
420 PERINE RD, ZANESVILLE, OH 43701-7641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.374253
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0029903
OH
Other
Enumeration date
02/20/2013
Last updated
10/05/2021
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