Individual
LYNETTE M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
605 MIAMI RD, MONTROSE, CO 81401-4108
(970) 252-3200
(970) 249-8793
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2342
(970) 335-2438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
119121
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2575
CO
Other
Enumeration date
08/03/2006
Last updated
02/09/2026
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