Healthcare Provider Details

I. General information

NPI: 1427849454
Provider Name (Legal Business Name): ROBYN FOXWORTH CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 05/17/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8588 ARABELLA AVE
BATON ROUGE LA
70820-8344
US

IV. Provider business mailing address

8588 ARABELLA AVE
BATON ROUGE LA
70820-8344
US

V. Phone/Fax

Practice location:
  • Phone: 225-207-7623
  • Fax:
Mailing address:
  • Phone: 225-207-7623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number240752
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number240752
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: