Mora, Carmen D

Mora, Carmen D is an individual health care provider with primary practice located at 1845 S Townsend Ave , Montrose CO 81401-5448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mora, Carmen D can be contacted via phone (970) 252-5000.

Contact Information

Primary practice address
1845 S Townsend Ave Montrose CO 81401-5448
Phone: (970) 252-5000
Fax: (970) 252-7070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101300 Colorado

Profile Details

NPI number 1942292065
LBN Legal business name Mora, Carmen D
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 26th, 2009 - about 15 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 1942292065 NPPES
Colorado MEDICAID 58436332

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