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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARSHA A MOORE, NP
142 S 1ST ST
RATON, NM87740-3902
 Phone: 575-445-2753
 Fax: 575-445-2759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARSHA A MOORE · (Female)

NPI Number 1396813598
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/04/2006
Last updated 01/08/2013 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
NM License # R38356
NM Medicaid 00071062
NM Medicare UPIN S36035
Hospital affiliation(s)
  • MINERS' COLFAX MEDICAL CENTER - (Critical Access)
    203 HOSPITAL DRIVE
    RATON, NM 87740
  • MT SAN RAFAEL HOSPITAL - (Critical Access)
    410 BENEDICTA AVENUE
    TRINIDAD, CO 81082
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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