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EBONY NICOLE MOULTRY STNA
NPI 1235482720
Nurse's Aide in Cleveland, OH

Active since October 21, 2012
3363 E 123RD ST, APT. DOWN, CLEVELAND, OH 44120(216) 659-9638 Get Directions Write a Review

NPPES record last updated: October 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebony Nicole Moultry Stna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY NICOLE MOULTRY STNA (NPI 1235482720) is an individual nurse's aide in Cleveland, Ohio, licensed in Ohio (401399400612) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1235482720
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameEBONY NICOLE MOULTRYCredential: STNA
Location Address3363 E 123RD ST, APT. DOWNCleveland, OH 44120-3851
Mailing Address3363 E 123rd St, Apt. DownCleveland, OH 44120-3851 · (216) 659-9638
Phone(216) 659-9638
Sole ProprietorYes
Enumeration DateOctober 21, 2012
✔ NPI 1235482720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in OH · 401399400612
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
3363 E 123RD ST, Cleveland, OH 44120
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Moultry's NPI number?

The NPI number for Ebony Moultry is 1235482720. It was assigned to this individual provider in the NPPES registry on October 21, 2012.

Where is Ebony Moultry located?

Ebony Moultry practices at 3363 E 123rd St Apt. Down, Cleveland, OH 44120. The listed phone number is (216) 659-9638.

What is Ebony Moultry's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Ebony Moultry was last updated on October 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.