Moore, Timothy Allen

Moore, Timothy Allen is an individual health care provider with primary practice located at 2350 Meadows Blvd , Castle Rock CO 80109-8405. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Moore, Timothy Allen can be contacted via phone (720) 455-5000.

Contact Information

Primary practice address
2350 Meadows Blvd Castle Rock CO 80109-8405
Phone: (720) 455-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.0165348 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.0990803-CRNA Colorado

Profile Details

NPI number 1407293699
LBN Legal business name Moore, Timothy Allen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2013
Last updated Nov 27th, 2023 - about last year

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 1407293699 NPPES
Colorado MEDICAID 26870576

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