Individual
DR. NANCY LOUISE MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LAMKIN ST APT 101, PUEBLO, CO 81003-3558
(719) 543-6633
(719) 543-6655
Mailing address
201 LAMKIN ST, UNIT 101, PUEBLO, CO 81003-3476
(719) 543-6633
(719) 543-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38366
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82634343
—
CO
05
—
9000144198
—
CO
Enumeration date
11/06/2006
Last updated
02/16/2022
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