Provider Demographics
NPI:1245385715
Name:CHEBLI, RAMONA B (ANP)
Entity Type:Individual
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First Name:RAMONA
Middle Name:B
Last Name:CHEBLI
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Gender:F
Credentials:ANP
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Mailing Address - Street 1:12855 N 40 DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8657
Mailing Address - Country:US
Mailing Address - Phone:314-880-6162
Mailing Address - Fax:314-997-3248
Practice Address - Street 1:1390 US HIGHWAY 61
Practice Address - Street 2:SUITE 3300
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-4137
Practice Address - Country:US
Practice Address - Phone:636-931-6302
Practice Address - Fax:636-933-3609
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2020-11-03
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Provider Licenses
StateLicense IDTaxonomies
MO130564363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO130564OtherPROFESSIONAL LICENSE