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Riley Ebenroth
Critical Care Medicine Registered Nurse in Osage Beach, Missouri
NPI 1346950383

Riley Ebenroth is a Critical Care Medicine Registered Nurse based in Osage Beach, MO and is specialized in Critical Care Medicine. Riley Ebenroth practices in Osage Beach, MO. The NPI Number for Riley Ebenroth is 1346950383 and holds a License No. 2020018799 (Missouri).

The current practice location address for Riley Ebenroth is 5198 Little Ship St, Osage Beach, MO and can be reached out via phone at 314-348-0852.

Location: 5198 Little Ship St, Osage Beach, MO, 65065-2863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346950383
Provider Name
Riley Ebenroth
Credential
Provider Entity Type
Individual
Gender
Female
Address
5198 Little Ship St, Osage Beach, MO, 65065-2863
Phone Number
314-348-0852
Fax Number
Provider Enumeration Date
11/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5198 Little Ship St
City
Osage Beach
State
Missouri
Zip
65065-2863
Phone Number
314-348-0852
Fax Number
person
Provider Business Mailing Address Details
Address
5198 Little Ship St
City
Osage Beach
State
Missouri
Zip
65065-2863
Phone Number
314-348-0852
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
2020018799 (Missouri)
Definition
Definition to come...
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