Individual
ANDREA SUE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
4708 VISTA VIEW LN, COLORADO SPRINGS, CO 80915-1040
(719) 330-5512
(719) 574-6364
Mailing address
4708 VISTA VIEW LN, COLORADO SPRINGS, CO 80915-1040
(719) 330-5512
(719) 574-6364
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
105139
CO
Other
Enumeration date
09/08/2007
Last updated
10/02/2013
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