IndividualActive
Evelyn Walberg
NPI 1255996765 · Basic Emergency Medical Technician · Ellington, MO
Provider details
- NPI number
- 1255996765
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 65672 (MO)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
315 E Walnut St
Ellington, MO 63638-7943
Phone: (573) 663-2644
Approximate (ZIP-level) locationGet directions
Mailing address
315 E Walnut St
Ellington, MO 63638-7943
Registry dates
- Enumerated
- 2019-05-09
- Last updated
- 2019-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.