Individual
CLAIRE S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2021 BOISE AVE, LOVELAND, CO 80538-5037
(970) 669-3298
Mailing address
2021 BOISE AVE, LOVELAND, CO 80538-5037
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0993249
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-024-0704
DRIVER'S LICENSE
CO
Enumeration date
02/14/2018
Last updated
02/14/2018
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