Ebony Bow

Nurse's Aide · Saint Louis, MO

Individual Active NPI

NPI number 1700648672

Practice location

5414 Vera Ave
Saint Louis, MO 63115-2232
Phone
(314) 255-8445

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NPI record

NPI
1700648672
Entity type
Individual (Type 1)
Enumeration date
January 26, 2024
Last updated
January 26, 2024
Certified
January 26, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse's Aide Primary 376K00000X 115755 MO

Mailing address

2182 Keeven Ln
Florissant, MO 63031-6502
Phone
(314) 255-8445

About Ebony Bow

Ebony Bow is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse's Aide (code 376K00000X). The practice location is 5414 Vera Ave, Saint Louis, MO 63115-2232. The NPI number 1700648672 was assigned on January 26, 2024 and the record was last updated on January 26, 2024.

Ebony Bow lists a license in the registry: #115755 (MO) for Nurse's Aide. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ebony Bow?

The NPI number is 1700648672.

What is the phone number of Ebony Bow?

The phone number listed for the practice location is (314) 255-8445.

Where is Ebony Bow located?

5414 Vera Ave, Saint Louis, MO 63115-2232.

What is the taxonomy code for Ebony Bow?

The primary taxonomy code is 376K00000X – Nurse's Aide.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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