Autumn Risner, RN

Individual provider Active NPI School Registered Nurse · Beaver, OH

NPI 1992108450 · NPPES record last updated Sep 29, 2014

Key facts

NPI
1992108450
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN-281975 (OH)
Practice address
1170 Tile Mill Rd
Beaver, OH 45613-9435
Phone
(740) 226-6402
Fax
(740) 226-6122
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
RN-281975OHMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN-281975 OH Yes

Addresses

Primary practice location

1170 Tile Mill Rd
Beaver, OH 45613-9435

Mailing address

2931 Salem Rd
Minford, OH 45653-8706
Phone (740) 820-2948

Other providers in Beaver, OH

All providers in Beaver, OH · School Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.