Provider Demographics
NPI:1912882747
Name:MUSLAR, EBONY E (STNA)
Entity type:Individual
Prefix:MS
First Name:EBONY
Middle Name:E
Last Name:MUSLAR
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 FAR HILLS AVE APT A
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2332
Mailing Address - Country:US
Mailing Address - Phone:740-333-8170
Mailing Address - Fax:
Practice Address - Street 1:4925 FAR HILLS AVE APT A
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-2332
Practice Address - Country:US
Practice Address - Phone:740-333-8179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide