Individual
ERITREA HABTEMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5217 DELMAR BLVD, SAINT LOUIS, MO 63108-1027
(314) 853-2890
Mailing address
5217 DELMAR BLVD, SAINT LOUIS, MO 63108-1027
(314) 853-2890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024095163
MO
Other
Enumeration date
01/03/2025
Last updated
12/08/2025
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