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NPI Code Detail

MEDICARE: ROBIN TRUJILLO RN

MEDICARE:   ROBIN  TRUJILLO  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN 172848CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972731008
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN TRUJILLO RN
Provider Business Mailing Address
First Line : 1675 GARDEN OF THE GODS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-9444
Country : US
Telephone Number : 719-578-3242
Fax Number : 719-575-8637
Provider Business Practice Location Address
First Line : 1675 GARDEN OF THE GODS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-9444
Country : US
Telephone Number : 719-578-3242
Fax Number : 719-575-8637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2009
Last Update Date : 09/26/2016

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