Provider Demographics
NPI:1710616156
Name:ROBINSON, DANIELLE DENISE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DENISE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WOODS TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6236
Mailing Address - Country:US
Mailing Address - Phone:314-723-1736
Mailing Address - Fax:
Practice Address - Street 1:9 WOODS TRAIL CT
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-6236
Practice Address - Country:US
Practice Address - Phone:314-723-1736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009021102163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health