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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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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