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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619953734 | NPPES |
Colorado | MEDICAID | 00833843 | |
Colorado | Other | P01148022 | |
Colorado | Other | P00944802 |
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