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NPI Code Detail

MEDICARE: MEGAN SUE MOORE FNP-C

MEDICARE: MEGAN SUE MOORE FNP-C
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
1363LF0000XFamily Nurse PractitionerAPN.1000649-NPCO

General Provider Information

NPI Number : 1407655616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN SUE MOORE FNP-C
Provider Business Mailing Address
First Line : 801 W MINERAL AVE STE 101
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5663
Country : US
Telephone Number : 303-815-5133
Fax Number :
Provider Business Practice Location Address
First Line : 801 W MINERAL AVE STE 101
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5663
Country : US
Telephone Number : 303-815-5133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 03/28/2025

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Directions to “ MEGAN SUE MOORE FNP-C” Practice Location

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