NPI 1255996765

Evelyn D Walberg

Practitioner Basic Emergency Medical Technician Ellington, MO

Practice location

Address: 315 E Walnut St, Ellington, MO 63638-7943
Phone: (573) 663-2644

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 65672 (MO)

Other Emergency Medical Technician, Basic providers in Missouri →

Registry record

NPI: 1255996765
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2019
Record last updated: 9 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.