Most Relevant Information
Provider Data
| NPI Number: | 1003317629 |
| Provider Name: | TILA MAIRE ERNST LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.154255.MEDS-IV |
Most Important Dates
| Enumeration Date: | 02/28/2018 |
| Last Updated: | 02/28/2018 |
Provider Practice Location
6112 LUCAS AVE
ASHTABULA
OH
440046318
Practice Location Phone/Fax
| Phone: | 4402180246 |
| Fax: |
Provider Mailing Location
6112 LUCAS AVE
ASHTABULA
OH
440046318
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |