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Individual
REBECCA JANE MOORE
Active
Individual
REBECCA JANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196559
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
AP127973
TX
363LP0200X
Pediatric Nurse Practitioner
0990816
CO
Other
Enumeration date
07/18/2013
Last updated
10/15/2025
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