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

Ebony Nicole Moultry, STNA

Individual provider Nurse's Aide · NPI 1235482720

Ebony Nicole Moultry, STNA is a Nurse's Aide in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2012

Practice location Address checks out

3363 E 123rd St Apt Down
Cleveland, OH 44120-3851
Phone: (216) 659-9638
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 401399400612 (OH)

Record details

NPI number1235482720
Entity typeIndividual (Type 1)
GenderFemale
Credentials STNA
Sole proprietorYes
NPI enumeratedOctober 21, 2012
Last updated in NPPESOctober 21, 2012

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