Healthcare Provider Details
I. General information
NPI: 1912823717
Provider Name (Legal Business Name): ES HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7338 TANNOIA DR
HAZELWOOD MO
63042-1344
US
IV. Provider business mailing address
7338 TANNOIA DR
HAZELWOOD MO
63042-1344
US
V. Phone/Fax
- Phone: 314-363-6718
- Fax:
- Phone: 314-363-6718
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERICA
SCOTT
Title or Position: OWNER/MEMBER
Credential: FNP-BC
Phone: 314-363-6718