Etheart, Rosemary G
Etheart, Rosemary G is an individual health care provider with primary practice located at 28105 Clemens Rd Bldg 3, Westlake OH 44145-1100. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Etheart, Rosemary G can be contacted via phone (440) 788-4500.Contact Information
Primary practice address
28105 Clemens Rd Bldg 3
Westlake OH 44145-1100
Phone: (440) 788-4500
Fax: (440) 835-4376
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN167684 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | COA.03116-NP | Ohio |
Profile Details
NPI number | 1417941428 |
---|---|
LBN Legal business name | Etheart, Rosemary G |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2005 |
Last updated | Nov 13th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417941428 | NPPES |
Ohio | MEDICAID | 2577966 |
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