Individual
TABATHA LADORIS ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1120 S 6TH ST STE 110, SAINT LOUIS, MO 63104-3602
(573) 723-6023
Mailing address
1120 S 6TH ST STE 110, SAINT LOUIS, MO 63104-3602
(573) 723-6023
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
2021035982
MO
363LF0000X
Family Nurse Practitioner
F08210501
MO
Other
Enumeration date
09/21/2021
Last updated
03/26/2026
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