Individual provider · Type 1 NPI

Eiza Ansari

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1649177791 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6000 Map

Mailing address

300 S Grand Blvd Apt 1401
St. Louis, MO 63103-2444

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649177791

Eiza Ansari's National Provider Identifier is 1649177791, issued on Oct 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 22, 2026.