Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Bow

Individual provider Nurse's Aide · NPI 1700648672

Ebony Bow is a Nurse's Aide in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

5414 Vera Ave
Saint Louis, MO 63115-2232
Phone: (314) 255-8445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 115755 (MO)

Record details

NPI number1700648672
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2024
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address2182 Keeven Ln, Florissant, MO 63031-6502

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