Healthcare Provider Details

I. General information

NPI: 1467412981
Provider Name (Legal Business Name): ROBERT WILLIAM SUADI RNFA, CFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7354 ROBB ST
ARVADA CO
80005-3541
US

IV. Provider business mailing address

7354 ROBB ST
ARVADA CO
80005-3541
US

V. Phone/Fax

Practice location:
  • Phone: 303-403-9080
  • Fax: 303-403-9077
Mailing address:
  • Phone: 303-421-4235
  • Fax: 303-403-9077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number115549
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number157947
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: