Individual
MRS. MARCIA DIGE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN , NP-C
Contact information
Practice address
1351 COLLYER ST, LONGMONT, CO 80501-3310
(303) 776-7717
Mailing address
PO BOX 676, LYONS, CO 80540-0676
(303) 717-5113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161866
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0995935-NP
CO
Other
Enumeration date
06/04/2010
Last updated
10/13/2020
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