Individual provider · Type 1 NPI
Krystal Jo Etters, RN
Primary Care Nurse Practitioner · Roseville, OH
NPI number
1780924217
Active
Practice location
4690 Butler Rd
Roseville, OH 43777-9719
Mailing address
420 Perine Rd
Zanesville, OH 43701-7641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN.374253 (OH) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | APRN.CNP.0029903 (OH) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1780924217
Krystal Jo Etters, RN's National Provider Identifier is 1780924217, issued on Feb 20, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Roseville, OH. The record was last updated on Oct 5, 2021.