Anita Carol Ernsberger, RN
Individual provider Active NPI Registered Nurse · Willard, OH
NPI 1669660924 · NPPES record last updated Oct 11, 2007
Key facts
- NPI
- 1669660924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN279016 (OH)
- Practice address
- 605 Maplewood St
Willard, OH 44890-1545 - Phone
- (419) 951-2063
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN279016 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN279016 | OH | Yes |
Addresses
Primary practice location
605 Maplewood St
Willard, OH 44890-1545
Mailing address
605 Maplewood St
Willard, OH 44890-1545
Phone (419) 951-2063
Other providers in Willard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.