Robin Koffman, RN
Individual provider Active NPI Registered Nurse · Fairplay, CO
NPI 1609201458 · NPPES record last updated Sep 12, 2013
Key facts
- NPI
- 1609201458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1622768 (CO)
- Practice address
- 825 Clark St
Fairplay, CO 80440 - Phone
- (719) 836-4161
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1622768 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Park Dba Park County Public Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1622768 | CO | Yes |
Addresses
Primary practice location
825 Clark St
Fairplay, CO 80440
Mailing address
PO Box 846
Fairplay, CO 80440-0846
Phone (719) 836-4161
Other providers in Fairplay, CO
- Samantha Irene Jager
- Ian Michael Jolley
- Kristin Ann Klossner
- Knudsen Counseling Educational and Business Services LLC
- Nola Wileen Knudsen
- Kutik-Giampaolo Hearing , Inc.
- Laj, Inc.
- Edward Jerome Littman
- Amy Lynn Majikas
- Betty Elizabeth Ballman McLain
All providers in Fairplay, CO · Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.