person
Johanna Moore, FNP
Family Nurse Practitioner in Colorado Springs, Colorado
NPI 1902282809

Johanna Moore is a Family Nurse Practitioner based in Colorado Springs, CO and is specialized in Family. Johanna Moore practices in Colorado Springs, CO and has the professional credentials of FNP. The NPI Number for Johanna Moore is 1902282809 and holds a License No. 0991887 (Colorado).

The current practice location address for Johanna Moore is 4110 Briargate Pkwy, Colorado Springs, CO and can be reached out via phone at 719-632-7669.

Location: 4110 Briargate Pkwy, Colorado Springs, CO, 80920-7835
person
Provider Profile Details
NPI Number
1902282809
Provider Name
Johanna Moore
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4110 Briargate Pkwy, Colorado Springs, CO, 80920-7835
Phone Number
719-632-7669
Fax Number
Provider Enumeration Date
08/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0991887 01 CO FNP LICENSE
institution
Provider Business Practice Location Address Details
Address
4110 Briargate Pkwy
City
State
Zip
80920-7835
Phone Number
719-632-7669
Fax Number
person
Provider Business Mailing Address Details
Address
4110 Briargate Pkwy
City
State
Zip
80920-7835
Phone Number
719-632-7669
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0991887 (Colorado)
Definition
Definition to come...
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