NPI Profile for STEPHANIE E MOORE in BOULDER, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lactation Consultant |
163WL0100X | |||
Perinatal |
163WP1700X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHANIE E MOORE
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