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NPI Code Detail

MEDICARE: JORDAN NARISSA MOILANEN

MEDICARE: JORDAN NARISSA MOILANEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1033830054
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN NARISSA MOILANEN
Provider Business Mailing Address
First Line : 4891 INDEPENDENCE ST STE 165
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-6714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4891 INDEPENDENCE ST STE 165
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-6714
Country : US
Telephone Number : 303-456-0660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 09/07/2022

Similar Medicare Providers

1588063978 — EMILIA BROADHURST EALOM LCSW
Practice Location Address:
4891 INDEPENDENCE ST STE 165
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Practice Fax: 303-456-0607
1457483885 — MS. MARIANNE SANDSTROM MA
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Practice Fax: 303-456-0607
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Practice Location Address:
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1306599444 — BONIFACIO SANCHEZ FLORES
Practice Location Address:
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80033-6714
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Practice Fax: 303-456-0607

Directions to “ JORDAN NARISSA MOILANEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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