Individual
ROBERT MILES SMITH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
6915 TUTT BLVD., SUITE #110B, COLORADO SPRINGS, CO 80923-3591
(719) 445-1292
(719) 591-6486
Mailing address
1065 NE 125TH STREET, SUITE 300, NORTH MIAMI, FL 33161-5833
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1652682
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0997084-NP
CO
Other
Enumeration date
07/01/2021
Last updated
04/13/2022
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