Individual
MRS. MOIRA ANNETTE SERGEJEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1925 E ORMAN AVE, SUITE 440, PUEBLO, CO 81004-3537
(719) 557-4744
Mailing address
1925 E ORMAN AVE, SUITE 440, PUEBLO, CO 81004-3537
(719) 557-4744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
990341
CO
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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