| Doctor Name: | ROBIN THALL |
| NPI Number: | 1013160696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN BSN CCM LNCC |
| License Number: | 68412 |
| Business Practice Address: | 18695 Pony Express Drive # 4397 Parker, CO - 80134 |
| Business Phone Number: | 3038400713 |
| Business Fax Number: | 3038055809 |
| Mailing Address: | Po Box 4397, PARKER |
| State: | CO |
| Postal Code: | 801341450 |
| Phone Number: | 3038400713 |
| Fax Number: | 3038055809 |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 09/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 68412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |