REANNA MOORE RDN
NPI 1922476456
Nurse Practitioner - Primary Care in Grand Junction, CO
Active since September 15, 2015
About Reanna Moore Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REANNA MOORE RDN (NPI 1922476456) is an individual primary care provider in Grand Junction, Colorado, licensed in Colorado (APN.0997864-NP) and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1922476456
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameREANNA MOORECredential: RDN
Location Address2121 NORTH AVEGrand Junction, CO 81501-6428
Mailing Address1807 N 4th StGrand Junction, CO 81501-2101 · (904) 477-3409
Phone(970) 263-2829
Sole ProprietorNo
Enumeration DateSeptember 15, 2015
Last NPPES UpdateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1922476456 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CO · APN.0997864-NP
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 86006872 (CO)
2121 NORTH AVE, Grand Junction, CO 81501
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922476456, enumerated as an "individual" on September 15, 2015.
The provider is located at 2121 NORTH AVE GRAND JUNCTION, CO 81501 and the phone number is (970) 263-2829.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.