Individual
REANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-2829
Mailing address
1807 N 4TH ST, GRAND JUNCTION, CO 81501-2101
(904) 477-3409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86006872
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.0997864-NP
CO
Other
Enumeration date
09/15/2015
Last updated
02/06/2023
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