Healthcare Provider Details

I. General information

NPI: 1033900725
Provider Name (Legal Business Name): COLBIE ROBIN CHRISTOPHER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COLBIE CHRISTOPHER MERRITT

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3903 MEDICAL DR STE 100
OGDEN UT
84403-2316
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-387-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number10646902-3102
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number10646902-4405
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10646902-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: