Moore, Constance Lucille

Moore, Constance Lucille is an individual health care provider with primary practice located at 9395 Crown Crest Blvd , Parker CO 80138-8573. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moore, Constance Lucille can be contacted via phone (303) 269-4000.

Contact Information

Primary practice address
9395 Crown Crest Blvd Parker CO 80138-8573
Phone: (303) 269-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 45141 Colorado

Profile Details

NPI number 1801829759
LBN Legal business name Moore, Constance Lucille
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 15th, 2007 - about 17 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801829759 NPPES
Colorado MEDICAID 05828384

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