Individual
SEAN ANTHONY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-5110
Mailing address
1008 S SPRING AVE FL 3, SAINT LOUIS, MO 63110-2520
(317) 617-4678
(314) 977-1820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020026939
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2020
Last updated
02/08/2022
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