Individual
MARY PAT ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
71 S FLANNAGAN AVE, LEBANON, VA 24266
(276) 883-8042
(276) 883-8044
Mailing address
71 S FLANNAGAN AVE, LEBANON, VA 24266
(276) 883-8042
(276) 883-8044
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024171383
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN0000005770
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932128824
—
VA
01
—
P01414625
RAILROAD MEDICARE
VA
Enumeration date
07/19/2006
Last updated
02/01/2017
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