Individual
MRS. SUSAN KAY MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7045
(303) 239-7088
Mailing address
12251 W PRENTICE PL, LITTLETON, CO 80127-4413
(303) 697-8357
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN100688
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38850290
—
CO
Enumeration date
10/13/2006
Last updated
07/08/2007
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