KRYSTAL JO ETTERS RN NPI 1780924217

NPI Information

NPI: 1780924217
Provider Name: KRYSTAL JO ETTERS, RN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
4690 BUTLER RD
ROSEVILLE, OH
ZIP 43777
Phone: (740) 252-1934
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Krystal Jo Etters, RN is a primary care nurse practitioner in Roseville, OH. Krystal Jo Etters, RN NPI is 1780924217. 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:

4690 BUTLER RD
ROSEVILLE, OH
ZIP 43777-719
Phone: (740) 252-1934

The enumeration date for this NPI number is 2/20/2013 and was last updated on 10/5/2021.

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		RN.374253	OHIO	No
2	363LP2300X	Nurse Practitioner	Primary Care	APRN.CNP.0029903	OHIO	Yes

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: 5/5/2024

NPI Synchronization or Removal

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