Roberts, Mia Wallin

Roberts, Mia Wallin is an sole proprietor health care provider with primary practice located at 4107 S Federal Blvd Ste B , Englewood CO 80110-4316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Roberts, Mia Wallin can be contacted via phone (303) 315-6150.

Contact Information

Primary practice address
4107 S Federal Blvd Ste B Englewood CO 80110-4316
Phone: (303) 315-6150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP07790 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN.0990539-NP Colorado

Profile Details

NPI number 1245651512
LBN Legal business name Roberts, Mia Wallin
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2014
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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