Individual provider · Type 1 NPI

Ebony Bow

Nurse's Aide · St. Louis, MO

NPI number 1700648672 Active

Practice location

5414 Vera Ave
St. Louis, MO 63115-2232

Call (314) 255-8445 Map

Mailing address

2182 Keeven Ln
Florissant, MO 63031-6502

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide Primary	376K00000X	115755 (MO)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1700648672

Ebony Bow's National Provider Identifier is 1700648672, issued on Jan 26, 2024. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 26, 2024.