Wagner, Ebony

Wagner, Ebony is an individual health care provider with primary practice located at 2325 Patterson Rd , Florissant MO 63031-2205. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wagner, Ebony can be contacted via phone (314) 620-5553.

Contact Information

Primary practice address
2325 Patterson Rd Florissant MO 63031-2205
Phone: (314) 620-5553
Fax: (314) 584-5002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2013023536 Missouri

Profile Details

NPI number 1417402397
LBN Legal business name Wagner, Ebony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated Aug 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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