Individual
MOZHGAN MOAMENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5361
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023667
KAISER COMMERCIAL NUMBER
CO
05
—
87255529
—
CO
Enumeration date
03/05/2008
Last updated
07/22/2022
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