Individual provider · Type 1 NPI
Roberta Moore, FNP-C
Family Nurse Practitioner · Us Air Force, CO
NPI number
1275992646
Active
Practice location
4102 Pinion Dr
Us Air Force, CO 80840-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP9606 (AZ) |
| Registered Nurse | 163W00000X | 123231 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275992646
Roberta Moore, FNP-C's National Provider Identifier is 1275992646, issued on Feb 15, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Us Air Force, CO. The record was last updated on Jun 24, 2025.