Healthcare Provider Details

I. General information

NPI: 1902016918
Provider Name (Legal Business Name): ROBIN WILCOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 FRANKLIN ST
DENVER CO
80205-5437
US

IV. Provider business mailing address

7405 W MAPLE DR
LAKEWOOD CO
80226-2031
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-3141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License Number180608
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number180608
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: