Healthcare Provider Details

I. General information

NPI: 1285662213
Provider Name (Legal Business Name): DAVID M ROBERTS NNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 HIGH ST SUITE 250
DENVER CO
80205-5503
US

IV. Provider business mailing address

2055 HIGH ST SUITE 250
DENVER CO
80205-5503
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-7440
  • Fax: 303-839-7210
Mailing address:
  • Phone: 303-839-7440
  • Fax: 303-839-7210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberNP-2834
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: