NPI 1306924709

Elizabeth Moore, CPMRM

Practitioner Midwife Boulder, CO

Practice location

Address: 3079 11th St, Boulder, CO 80304-2525
Phone: (303) 444-5274

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 0043 (CO)

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Registry record

NPI: 1306924709
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.