Provider Demographics
NPI:1114340668
Name:BEHR, ROBIN (NP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BEHR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:191 TELLURIDE ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4356
Mailing Address - Country:US
Mailing Address - Phone:303-396-5923
Mailing Address - Fax:303-957-5414
Practice Address - Street 1:1115 ELKTON DR STE 300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3597
Practice Address - Country:US
Practice Address - Phone:719-357-9703
Practice Address - Fax:877-588-3465
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176137363L00000X
COC-APN.0002596C-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner