Provider Demographics
NPI:1821391830
Name:ROBINSON, MICHELE M (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 300369
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-0369
Mailing Address - Country:US
Mailing Address - Phone:303-771-3939
Mailing Address - Fax:303-771-4949
Practice Address - Street 1:8200 E BELLEVIEW AVE STE 100E
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2804
Practice Address - Country:US
Practice Address - Phone:303-771-3939
Practice Address - Fax:303-771-4949
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1663363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical