Provider Demographics
NPI:1407477714
Name:ERSLAND, ANN MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:ERSLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 180TH ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-8927
Mailing Address - Country:US
Mailing Address - Phone:641-750-4950
Mailing Address - Fax:
Practice Address - Street 1:502 PLAZA HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4544
Practice Address - Country:US
Practice Address - Phone:641-753-7704
Practice Address - Fax:641-753-0379
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB078349363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner