Individual
MRS. DEBBIEANNE MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
820 CASTLE VALLEY BLVD, SUITE 204, NEW CASTLE, CO 81647-9480
(970) 984-3333
(970) 984-0293
Mailing address
820 CASTLE VALLEY BLVD, SUITE 204, NEW CASTLE, CO 81647-9480
(970) 984-3333
(970) 984-0293
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
83645
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42200547
—
CO
Enumeration date
12/13/2006
Last updated
02/27/2012
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