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Individual

JENNIFER MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4650 SIGNAL TREE DR STE 1200, TIMNATH, CO 80547-4908
(970) 237-7415
(970) 237-7420
Mailing address
PO BOX 732031, DALLAS, TX 75373-2031
(866) 429-6045
(970) 495-8910

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AO96033
IA
363L00000X
Nurse Practitioner
Primary
APN.0993856-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0429845
IA
Enumeration date
08/04/2006
Last updated
01/10/2022
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