Provider Demographics
NPI:1083394191
Name:ROBINSON, XAVIER (STUDENT (LPN))
Entity Type:Individual
Prefix:
First Name:XAVIER
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:STUDENT (LPN)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9443 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-5135
Mailing Address - Country:US
Mailing Address - Phone:314-614-7378
Mailing Address - Fax:
Practice Address - Street 1:9443 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-5135
Practice Address - Country:US
Practice Address - Phone:314-614-7378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program