Individual
MS. STEPHANIE ELIZABETH ALTON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
2525 ARAPAHOE AVE, H-12B, BOULDER, CO 80302-6720
(303) 546-6262
(303) 546-6263
Mailing address
2525 ARAPAHOE AVE, H-12B, BOULDER, CO 80302-6720
(303) 546-6262
(303) 546-6263
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
196-13456
CO
163WP1700X
Perinatal Registered Nurse
111029
CO
Other
Enumeration date
05/14/2007
Last updated
10/02/2012
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