Individual
MR. ROBERTO PENATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381
Mailing address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
97809
CO
367500000X
Certified Registered Nurse Anesthetist
ARNP1276112
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-452
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07413651
—
CO
05
—
117702800
—
WY
Enumeration date
10/11/2005
Last updated
04/17/2013
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