Healthcare Provider Details
I. General information
NPI: 1831227081
Provider Name (Legal Business Name): NURSES FOR NEWBORNS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7259 LANSDOWNE AVE SUITE 100
SAINT LOUIS MO
63119-3421
US
IV. Provider business mailing address
7259 LANSDOWNE AVE SUITE 100
SAINT LOUIS MO
63119-3421
US
V. Phone/Fax
- Phone: 314-544-3433
- Fax: 314-544-3427
- Phone: 314-544-3433
- Fax: 314-544-3427
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WC0400X |
| Taxonomy | Case Management Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SHARON
ROHRBACH
Title or Position: CEO
Credential: R.N.
Phone: 314-544-3433