ETIENNA COLEMAN NPI 1780135020

NPI Information

NPI: 1780135020
Provider Name: ETIENNA COLEMAN
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
3621 LOUISIANA AVE
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 550-2990
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Etienna Coleman is a home health aide in Saint Louis, MO. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Etienna Coleman NPI is 1780135020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3621 LOUISIANA AVE
SAINT LOUIS, MO
ZIP 63118-509
Phone: (314) 550-2990

The enumeration date for this NPI number is 10/21/2016 and was last updated on 12/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide		81-3262557	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	81326557	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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