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Laura Fadil Moore, CNP
Family Nurse Practitioner in Durango, Colorado
NPI 1386663102

Laura Fadil Moore is a Family Nurse Practitioner based in Durango, CO and is specialized in Family. Laura Fadil Moore practices in Durango, CO and has the professional credentials of CNP. The NPI Number for Laura Fadil Moore is 1386663102 and holds a License No. 160465 (Colorado).

The current practice location address for Laura Fadil Moore is 2390 Main Ave, Durango, CO and can be reached out via phone at 970-259-1630.

Location: 2390 Main Ave, Durango, CO, 81303-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386663102
Provider Name
Laura Fadil Moore
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
2390 Main Ave, Durango, CO, 81303-3409
Phone Number
970-259-1630
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21702781 05 CO
institution
Provider Business Practice Location Address Details
Address
2390 Main Ave
City
Durango
State
Colorado
Zip
81301-4638
Phone Number
970-259-1630
Fax Number
person
Provider Business Mailing Address Details
Address
2390 Main Ave
City
Durango
State
Colorado
Zip
81301-4638
Phone Number
970-259-1630
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
160465 (Colorado)
Definition
Definition to come...
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