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Individual

LAURA FADIL MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2390 MAIN AVE, DURANGO, CO 81301-4638
(970) 259-1630
Mailing address
281 SAWYER DR STE 100, DURANGO, CO 81303-3409
(970) 769-2214

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0990111-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
160465
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21702781
CO
Enumeration date
07/19/2006
Last updated
02/09/2026
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