Individual
MRS. ROBIN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 558-1234
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 558-1234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017032884
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2017032884
MO
Other
Enumeration date
09/22/2017
Last updated
12/02/2021
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