MS. MARY-ALICE RODSTROM ERNST A.N.P. NPI 1396987608

NPI Information

NPI: 1396987608
Provider Name: MS. MARY-ALICE RODSTROM ERNST, A.N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1590 E. 13TH ST
EUGENE, OR
ZIP 97403
Phone: (541) 346-2770
Get Directions

MS. Mary-alice Rodstrom Ernst, A.N.P. is an adult health nurse practitioner in Eugene, OR. MS. Mary-alice Rodstrom Ernst, A.N.P. NPI is 1396987608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1590 E. 13TH ST
EUGENE, OR
ZIP 97403-232
Phone: (541) 346-2770
Fax: (541) 346-2747

The enumeration date for this NPI number is 4/1/2009 and was last updated on 9/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		333339	OHIO	No
2	163W00000X	Registered Nurse		1119712	KENTUCKY	No
3	363LA2200X	Nurse Practitioner	Adult Health	10367	OHIO	No
4	363LA2200X	Nurse Practitioner	Adult Health	333339-COA1	OHIO	No
5	363LA2200X	Nurse Practitioner	Adult Health	201050211NP	OREGON	Yes
6	363LF0000X	Nurse Practitioner	Family	6004P	KENTUCKY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000019886Q	OTHER	KENTUCKY	HUMANA
2	1271256	MEDICARE PIN	KENTUCKY
3	0601246	MEDICARE PIN	KENTUCKY
4	000000624383	OTHER	KENTUCKY	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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