Healthcare Provider Details

I. General information

NPI: 1063394732
Provider Name (Legal Business Name): ELIZABETH K ROBERTSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13648 ORCHARD PKWY UNIT 900
WESTMINSTER CO
80023-9263
US

IV. Provider business mailing address

9880 PECOS ST
THORNTON CO
80260-5906
US

V. Phone/Fax

Practice location:
  • Phone: 720-239-7725
  • Fax: 720-239-7730
Mailing address:
  • Phone: 303-319-9562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1000436-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: