Healthcare Provider Details

I. General information

NPI: 1932416658
Provider Name (Legal Business Name): ROBIN LANDRUM FOSTER RN,CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE CHILDREN'S PLACE 8E-6 SAINT LOUIS CHILDREN'S HOSPITAL
SAINT LOUIS MO
63110-1077
US

IV. Provider business mailing address

ONE CHILDREN'S PLACE 8E-6 SAINT LOUIS CHILDREN'S HOSPITAL
SAINT LOUIS MO
63110-1077
US

V. Phone/Fax

Practice location:
  • Phone: 314-454-5458
  • Fax: 314-454-6225
Mailing address:
  • Phone: 314-454-5458
  • Fax: 314-454-6225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number146589
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: