AQUILA ROBERTS


Address: 1928 Griffin Dr, Brighton, CO 80601-4800
Phone: 3032413205

AQUILA ROBERTS (NPI# 1811478225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811478225
Entity Type Individual
Full Name AQUILA ROBERTS
Practice Address 1928 Griffin Dr
Brighton
CO 80601-4800
Mailing Address 1300 N 17th Ave
Greeley
CO 80631-9584
Practice Telephone 3032413205
Mailing Telephone 9703472120
Enumeration Date 2018-08-23
Last Update Date 2020-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 1637977 CO Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0995582 CO Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1928 GRIFFIN DR
City BRIGHTON
State CO
Zip Code 80601-4800

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BRIGHTON
Zip Code 80601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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