Individual provider · Type 1 NPI
Mary-Alice Rodstrom Ernst, A.N.P.
Adult Health Nurse Practitioner · Eugene, OR
NPI number
1396987608
Active
Practice location
1590 E. 13th St
Eugene, OR 97403-1232
Fax (541) 346-2747
Mailing address
1232 University Of Oregon
Eugene, OR 97403-1205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 333339 (OH) |
| Registered Nurse | 163W00000X | 1119712 (KY) |
| Adult Health Nurse Practitioner | 363LA2200X | 10367 (OH) |
| Adult Health Nurse Practitioner | 363LA2200X | 333339-COA1 (OH) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 201050211NP (OR) |
| Family Nurse Practitioner | 363LF0000X | 6004P (KY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1396987608
Mary-Alice Rodstrom Ernst, A.N.P.'s National Provider Identifier is 1396987608, issued on Apr 1, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Eugene, OR. The record was last updated on Sep 29, 2014.