Moon, Indizo Star
Moon, Indizo Star is an sole proprietor health care provider with primary practice located at 8490 E Crescent Pkwy Ste 200 , Greenwood Village CO 80111-2802. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Moon, Indizo Star can be contacted via phone (720) 316-6434.Contact Information
Primary practice address
8490 E Crescent Pkwy Ste 200
Greenwood Village CO 80111-2802
Phone: (720) 316-6434
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN.1627689 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN.0997135-NP | Colorado |
Profile Details
NPI number | 1215394820 |
---|---|
LBN Legal business name | Moon, Indizo Star |
Credentials | RN, PMHNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 27th, 2016 |
Last updated | May 20th, 2024 - about 4 months 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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