Provider Demographics
NPI:1619162898
Name:LEVY, ROBYN ANNE (MSN, APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:ANNE
Last Name:LEVY
Suffix:
Gender:F
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2175 CHARBONIER RD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-5566
Mailing Address - Country:US
Mailing Address - Phone:314-831-5999
Mailing Address - Fax:314-831-9434
Practice Address - Street 1:2175 CHARBONIER RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-5566
Practice Address - Country:US
Practice Address - Phone:314-831-5999
Practice Address - Fax:314-831-9434
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO081422363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health