Provider Demographics
NPI:1396172144
Name:ROBIN WEST LLC
Entity type:Organization
Organization Name:ROBIN WEST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP FNP BC
Authorized Official - Phone:816-988-8350
Mailing Address - Street 1:1938 NW COPPER OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-8300
Mailing Address - Country:US
Mailing Address - Phone:816-988-8350
Mailing Address - Fax:816-988-8451
Practice Address - Street 1:1938 NW COPPER OAKS CIR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-8300
Practice Address - Country:US
Practice Address - Phone:816-988-8350
Practice Address - Fax:816-988-8451
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBIN WEST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-10
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO137113261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care