Healthcare Provider Details

I. General information

NPI: 1275078339
Provider Name (Legal Business Name): ANNE ELIZABETH ROBINSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE ELIZABETH RATERMANN

II. Dates (important events)

Enumeration Date: 12/28/2016
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S NEW BALLAS RD SUITE R-7040
SAINT LOUIS MO
63141-8253
US

IV. Provider business mailing address

625 S NEW BALLAS RD SUITE R-7040
SAINT LOUIS MO
63141-8253
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-5756
  • Fax:
Mailing address:
  • Phone: 314-251-5756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2017004329
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: