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Contact Information

STEPHANIE E MOORE, RN, BSN, IBCLC
2525 ARAPAHOE AVE
H-12B
BOULDER, CO80302-6720
 Phone: 303-546-6262
 Fax: 303-546-6263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant

163WL0100X
 

Perinatal

163WP1700X
Indicates primary specialty

NPI Profile & details for STEPHANIE E MOORE · (Female)

NPI Number 1619183217
Status Active
Credentials RN, BSN, IBCLC
Entity Individual
Enumeration date 05/14/2007
Last updated 10/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 111029
  • CO License # 196-13456
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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