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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBONY STREET

Active

EBONY STREET is a Community Health Worker healthcare provider located in SAINT LOUIS, Missouri. NPI 1528414760 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · SAINT LOUIS, MO

Registration Details

NPI Number
1528414760
Provider Type
Individual
Gender
Female
NPI Issued
May 6, 2016 (10.277159017091 yrs)
Last Updated
May 6, 2016

Practice Information

Address
1430 OLIVE ST
SAINT LOUIS, MO, 631032303
Browse MO providers · Browse ZIP 63103
Phone
3146203742
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in SAINT LOUIS, MO

Name Credential NPI
MRS. LISA ANN PAYNE OTR 1851558423
HEATHER J MINNES 1013142421
MRS. YOLANDA ROCHELLE NEWSON 1053644617
EMIR MILJKOVIC 1295060549
CARLOS H JOHNSON 1619209319
JAMESHIA QUIANNA NIXON 1346547163
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.