Moore, Maureen C

Moore, Maureen C is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moore, Maureen C can be contacted via phone (303) 306-7783.

Contact Information

Primary practice address
1024 S Lemay Ave Fort Collins CO 80524-3929
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-3071 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-3071 Colorado
Nursing Service Providers / Registered Nurse 163W00000X RN-6552 Colorado

Profile Details

NPI number 1619953734
LBN Legal business name Moore, Maureen C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Mar 7th, 2014 - about 10 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 1619953734 NPPES
Colorado MEDICAID 00833843
Colorado Other P01148022
Colorado Other P00944802

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