Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 2016019097 | MO |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 2016019097 | MO |
NPI | 1023460433 |
---|---|
Provider Name | Robin L Bobinmyer |
First Address | Bolivar, MO 65613-3011 |
Second Address | Humansville, MO 65674-8400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2016 |
Last Update Date | 23/04/2021 |