OrganizationActive
Advanced Family Medicine, LLC
NPI 1205290749 · Family Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1205290749
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Christina Robins, Owner(314) 475-3126
- License
- 144077 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
777 S New Ballas Rd
Ste 100e
Saint Louis, MO 63141-8705
Phone: (803) 788-5916
Approximate (ZIP-level) locationGet directions
Mailing address
777 S New Ballas Rd
Saint Louis, MO 63141-8705
Registry dates
- Enumerated
- 2016-04-11
- Last updated
- 2016-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.