Individual
EVAN BLAKE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2920 N CASCADE AVE STE 300, COLORADO SPRINGS, CO 80907-6262
(719) 636-1201
(719) 636-1326
Mailing address
2920 N CASCADE AVE STE 300, COLORADO SPRINGS, CO 80907-6262
(719) 636-1201
(719) 636-1326
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
272878
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0995199-CRNA
CO
Other
Enumeration date
08/15/2016
Last updated
12/11/2024
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