Healthcare Provider Details

I. General information

NPI: 1063342004
Provider Name (Legal Business Name): ROBBIN MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 BEARD CREEK RD
EDWARDS CO
81632-6433
US

IV. Provider business mailing address

1857 GEORGIA DR
JEFFERSON CO
80456-5129
US

V. Phone/Fax

Practice location:
  • Phone: 970-569-7613
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number0200339
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: