Individual
AUSTIN R ROUBIDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5110
(573) 335-4689
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013034030
MO
363LF0000X
Family Nurse Practitioner
Primary
2017018168
MO
Other
Enumeration date
06/22/2017
Last updated
03/05/2021
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