Provider Demographics
NPI: | 1831877646 |
---|---|
Name: | ROBINSON, MAGGIE ELIZABETH (MSN, PMHNP-BC) |
Entity type: | Individual |
Prefix: | |
First Name: | MAGGIE |
Middle Name: | ELIZABETH |
Last Name: | ROBINSON |
Suffix: | |
Gender: | F |
Credentials: | MSN, PMHNP-BC |
Other - Prefix: | |
Other - First Name: | MAGGIE |
Other - Middle Name: | ELIZABETH |
Other - Last Name: | ROBINSON-CANNON |
Other - Suffix: | |
Other - Last Name Type: | Other Name |
Other - Credentials: | MSN, PMHNP-BC |
Mailing Address - Street 1: | 1391 SPEER BLVD STE 360 |
Mailing Address - Street 2: | |
Mailing Address - City: | DENVER |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80204-2632 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 303-720-1845 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 7076 S ALTON WAY STE G1 |
Practice Address - Street 2: | |
Practice Address - City: | CENTENNIAL |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80112-2027 |
Practice Address - Country: | US |
Practice Address - Phone: | 720-800-3565 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2023-07-11 |
Last Update Date: | 2025-05-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CO | RN.1682592 | 163WP0808X |
CO | APN.0999153-NP | 363LP0808X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health |