Provider Demographics
NPI:1073267266
Name:RISKY, ROBIN (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:RISKY
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:KEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:637 DUNN RD STE 102A
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-1755
Mailing Address - Country:US
Mailing Address - Phone:314-831-8600
Mailing Address - Fax:314-831-0086
Practice Address - Street 1:637 DUNN RD STE 102A
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1755
Practice Address - Country:US
Practice Address - Phone:314-831-8600
Practice Address - Fax:314-831-0086
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MO2023021788363LF0000X
IL041346184390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program