Keriann Ensworth
Licensed Practical Nurse in Medford, OR. Individual provider (NPI-1).
NPI number1114561925
StatusActive
Last updated in NPPESNov 5, 2019
Details
- NPI
- 1114561925
- Entity type
- Individual (NPI-1)
- Name
- Keriann Ensworth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2019
- Last updated
- Nov 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 201900725LPN | OR | Yes |
Practice location
777 Murphy RdMedford, OR 97504-8425
Phone 541-772-2763 · Fax 541-734-3164
Mailing address
777 Murphy RdMedford, OR 97504-8425
Phone 541-772-2763 · Fax 541-734-3164
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All 36 Licensed Practical Nurse providers in Medford · All 5,435 providers in Medford
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