Ernie Ray Clifton II, CNP

Individual provider Active NPI Family Nurse Practitioner · Galion, OH

NPI 1891167979 · NPPES record last updated Oct 28, 2015

Key facts

NPI
1891167979
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN-353484-1 (OH)
Practice address
955 Bucyrus Rd
Galion, OH 44833-1509
Phone
(419) 468-4220
NPI assigned
Oct 28, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-353484-1OHMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN-353484-1 OH Yes

Addresses

Primary practice location

955 Bucyrus Rd
Galion, OH 44833-1509

Mailing address

955 Bucyrus Rd
Galion, OH 44833-1509
Phone (419) 468-4220

Other providers in Galion, OH

All providers in Galion, OH · Family Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.