Provider Demographics
NPI:1376569608
Name:ROBINSON, BRIDGET (ARNP)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 HEARTLAND ROAD
Mailing Address - Street 2:SUITE 2800
Mailing Address - City:ST. JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-6201
Mailing Address - Country:US
Mailing Address - Phone:816-271-1200
Mailing Address - Fax:816-271-1220
Practice Address - Street 1:901 HEARTLAND ROAD
Practice Address - Street 2:SUITE 2800
Practice Address - City:ST. JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-6201
Practice Address - Country:US
Practice Address - Phone:816-271-1200
Practice Address - Fax:816-271-1220
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO151025363LX0001X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO256149709Medicaid
MO256149709Medicaid
MO776D390BMedicare PIN