Provider Demographics
NPI:1790832863
Name:SUITER, ROBYN RAE (PNP)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:RAE
Last Name:SUITER
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3190 E LAS VEGAS ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-8002
Mailing Address - Country:US
Mailing Address - Phone:719-390-2736
Mailing Address - Fax:719-390-2739
Practice Address - Street 1:3190 E LAS VEGAS ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-8002
Practice Address - Country:US
Practice Address - Phone:719-390-2736
Practice Address - Fax:719-390-2739
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96860363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics