Healthcare Provider Details

I. General information

NPI: 1053693614
Provider Name (Legal Business Name): ROBYN C GRIFFITH CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 09/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 RANGEWOOD DR
COLORADO SPRINGS CO
80918-7300
US

IV. Provider business mailing address

6705 RANGEWOOD DR
COLORADO SPRINGS CO
80918-7300
US

V. Phone/Fax

Practice location:
  • Phone: 719-599-7331
  • Fax: 719-390-1333
Mailing address:
  • Phone: 719-599-7331
  • Fax: 719-390-1333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License NumberRN118167
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: