Individual provider · Type 1 NPI
Ainsley Nicholle Ezra
Licensed Practical Nurse · Salem, OR
NPI number
1417746744
Active
Practice location
1160 Liberty St SE
Salem, OR 97302-4143
Fax (503) 315-2019
Mailing address
4455 NE Highway 20
Corvallis, OR 97330-9695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 202000499LPN (OR) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1417746744
Ainsley Nicholle Ezra's National Provider Identifier is 1417746744, issued on May 2, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Salem, OR. The record was last updated on Oct 23, 2026.