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Individual

MS. ROBIN MUSSELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
(314) 353-1310
Mailing address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
(314) 353-1310

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
133297
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000080611
CPIN
MO
05
424873305
MO
Enumeration date
11/30/2005
Last updated
03/09/2015
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