Provider Demographics
NPI:1740781541
Name:HIRSEL, ANN KORTYNA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:KORTYNA
Last Name:HIRSEL
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1476 BUCKPOINT LN
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4701
Mailing Address - Country:US
Mailing Address - Phone:614-832-1205
Mailing Address - Fax:
Practice Address - Street 1:1476 BUCKPOINT LN
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4701
Practice Address - Country:US
Practice Address - Phone:614-832-1205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN212043163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse