Provider Demographics
NPI:1225000920
Name:RIBO, ERIN DENISE (CNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:DENISE
Last Name:RIBO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-1305
Mailing Address - Country:US
Mailing Address - Phone:740-380-9537
Mailing Address - Fax:740-380-1488
Practice Address - Street 1:225 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-1305
Practice Address - Country:US
Practice Address - Phone:740-380-9537
Practice Address - Fax:740-380-1488
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP08457363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2724501Medicaid
OHQ57856Medicare UPIN
OH2724501Medicaid