Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY WAGNER
ActiveEBONY WAGNER is a Licensed Practical Nurse healthcare provider located in FLORISSANT, Missouri. NPI 1417402397 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · FLORISSANT, MO
Registration Details
- NPI Number
- 1417402397
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2016 (9.9977086141868 yrs)
- Last Updated
- Aug 19, 2016
- License
-
2013023536 (MO)
Practice Information
- Address
-
2325 PATTERSON RDFLORISSANT, MO, 630312205Browse MO providers · Browse ZIP 63031
- Phone
- 3146205553
- Fax
- 3145845002
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in FLORISSANT, MO
| Name | Credential | NPI |
|---|---|---|
| MS. YOLONDA MARCHELLE MCKINNIES | LPN | 1194901488 |
| MRS. BRENDA L GRANT | LPN | 1164666178 |
| MRS. LANA SHANISE WATSON | LPN | 1023389889 |
| SAMANTHA SHANKS | L.P.N. | 1972040954 |
| QUONISHA HOLLIE | LPN | 1205395902 |
| SHARON DENISE COX | — | 1518588052 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.