Provider Demographics
NPI:1548519911
Name:EHLERT, JOANN RAE (RN)
Entity type:Individual
Prefix:MS
First Name:JOANN
Middle Name:RAE
Last Name:EHLERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOANN
Other - Middle Name:RAE
Other - Last Name:HUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22279 RIVER OAKS DRIVE
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537
Mailing Address - Country:US
Mailing Address - Phone:218-739-2320
Mailing Address - Fax:
Practice Address - Street 1:22279 RIVER OAKS DRIVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537
Practice Address - Country:US
Practice Address - Phone:218-739-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR079303-2163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health