SUSAN L MORAN (NPI# 1629056429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629056429 |
| Entity Type | Individual |
| Full Name | SUSAN L MORAN |
| Credential | NNP |
| Practice Address |
345 Maxwell Ave Boulder CO 80304-3972 |
| Mailing Address |
4747 Arapahoe Ave Boulder CO 80303-1133 |
| Practice Telephone | 3035445777 |
| Practice Fax Number | 3035445775 |
| Mailing Telephone | 7208547152 |
| Mailing Fax Number | 7208547114 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2008-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
3559 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 34906746 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536677 | Susan E Moran | Speech-Language Pathologist | 1250 S Ardmore Ave, Villa Park, IL 60181-3205 | 2018-01-18 |
| 1184883290 | Susan Marie Moran | Audiologist | 5632 S Mcvicker Ave, Chicago, IL 60638-3532 | 2008-06-03 |
| 1679564280 | Susan Elizabeth Moran | Internal Medicine | Mgh Wacc 5th Floor, Bulfinch Medical Group, Boston, MA 02114-2696 | 2005-11-02 |
| 1629600903 | Susan Moran | Social Worker | 356 Main Street Er, Randolph, NY 14772-9696 | 2020-02-05 |
| 1881961241 | Susan Moran | Marriage & Family Therapist | 5151 N Palm Ave, #960, Fresno, CA 93704-2211 | 2011-11-29 |
| 1629263249 | Susan L. Moran | Nurse Practitioner | 15051 Shell Point Blvd, Fort Myers, FL 33908 | 2007-09-06 |
| 1528259074 | Susan M. Moran | Psychologist | 1260 N Dutton Ave, Suite 245, Santa Rosa, CA 95401-4659 | 2007-08-08 |
| 1760497242 | Susan Teresa Moran | Physician Assistant | 701 Broad St, Suite B 4th Floor, Sewickley, PA 15143-1652 | 2006-07-30 |
| 1326010521 | Susan Ott Moran | Pediatrics | 559 Vincent St, Attn: 21 Mdg/cc, Peterson Afb, CO 80914-1540 | 2006-02-02 |
| 1225010390 | Susan P Moran | Internal Medicine | 65 Canal St, Millbury, MA 01527-3266 | 2005-11-15 |
| Street Address |
345 MAXWELL AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972581742 | Ruth A Evans | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| 1104983998 | Jennifer G Doyle | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2007-01-02 |
| 1932157922 | Christianna Martin | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-05-04 |
| 1346228046 | Kara D Muma | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-04 |
| 1245218031 | Gail L Loker | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| 1629056478 | Michelle D Gibbs | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| 1760460539 | Sharon M Glass | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972581742 | Ruth A Evans | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| 1104983998 | Jennifer G Doyle | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2007-01-02 |
| 1932157922 | Christianna Martin | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-05-04 |
| 1255303780 | Linda B Klein | Nurse Practitioner | 4747 Arapahoe Ave, Boulder, CO 80303-1133 | 2006-02-07 |
| 1548248008 | Carol M Wallman | Nurse Practitioner | 4747 Arapahoe Ave, Boulder, CO 80303-1133 | 2006-01-05 |
| 1346228046 | Kara D Muma | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-04 |
| 1245218031 | Gail L Loker | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| 1629056478 | Michelle D Gibbs | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| 1639157472 | Cynthia J Ashby | Nurse Practitioner | 4747 Arapahoe Ave, Boulder, CO 80303-1133 | 2006-01-03 |
| 1760460539 | Sharon M Glass | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| Find all providers in BOULDER | ||||
Please comment or provide details below to improve the information on SUSAN L MORAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.