Healthcare Provider Details

I. General information

NPI: 1063940468
Provider Name (Legal Business Name): KRISTIE L ROBLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 S 14TH ST
BURLINGTON CO
80807-2321
US

IV. Provider business mailing address

252 S 14TH ST
BURLINGTON CO
80807-2321
US

V. Phone/Fax

Practice location:
  • Phone: 719-346-7158
  • Fax: 719-346-8066
Mailing address:
  • Phone: 719-346-7158
  • Fax: 719-346-8066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: