Healthcare Provider Details

I. General information

NPI: 1770448193
Provider Name (Legal Business Name): ROBERT ANTHONY WILLIAMS RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 W 32ND AVE APT 1007
DENVER CO
80211-4942
US

IV. Provider business mailing address

3405 W 32ND AVE APT 1007
DENVER CO
80211-4942
US

V. Phone/Fax

Practice location:
  • Phone: 303-666-2088
  • Fax: 303-666-2346
Mailing address:
  • Phone: 303-666-2088
  • Fax: 303-666-2346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN0191823
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: