Individual
MARCIE MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 263-4918
(970) 683-7278
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1640413
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0992572-NP
CO
Other
Enumeration date
08/15/2016
Last updated
09/14/2021
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