Individual
SUSAN L MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
345 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 544-5777
(303) 544-5775
Mailing address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1133
(720) 854-7152
(720) 854-7114
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
3559
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34906746
—
CO
Enumeration date
01/03/2006
Last updated
03/06/2008
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