Individual
DR. NICOLE BLYTHE MOORE RIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 LADY MOON DR, FORT COLLINS, CO 80528-4426
(970) 821-4000
Mailing address
4700 LADY MOON DR, FORT COLLINS, CO 80528-4426
(970) 821-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
93048
SC
208600000X
Surgery Physician
C159352
CA
208600000X
Surgery Physician
Primary
DR.0075657
CO
208D00000X
General Practice Physician
2014-01826
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2013
Last updated
10/16/2025
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