MEDICARE: CLARITYACP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LA2200X	Adult Health Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner
3	363LG0600X	Gerontology Nurse Practitioner
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1518820091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITYACP

Provider Business Mailing Address
First Line	:	810 FRANCIS PL APT 2N
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-2426
Country	:	US
Telephone Number	:	314-728-8287
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 FRANCIS PL APT 2N
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-2426
Country	:	US
Telephone Number	:	314-728-8287
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	DR. OGHOSA EVBUOMWAN
Credential	:	MD, MPH, MBA
Telephone Number	:	314-728-8287

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/05/2025

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Directions to “CLARITYACP ” Practice Location

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