| Camille Sue Moore, FNP-BC | |
| 
					859 S 4th Ave, Brighton, CO 80601  | |
| (303) 338-4545 | |
| Not Available | 
| Full Name | Camille Sue Moore | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 859 S 4th Ave, Brighton, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174821730 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN.0990069-NP (Colorado) | Primary | 
| Entity Name | Dhhs Ihs Phoenix Area | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Camille Sue Moore, FNP-BC 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: (303) 338-4545  | Camille Sue Moore, FNP-BC 859 S 4th Ave, Brighton, CO 80601 Ph: (303) 338-4545  | 
Amanda Gonsalves, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Purcell St, Brighton, CO 80601 Phone: 303-659-9700  | |
Mark Muller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Purcell St, Brighton, CO 80601 Phone: 303-558-0515  | |
Mr. Cory R Peticolas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Purcell St, Brighton, CO 80601 Phone: 303-558-0515  | |
Jared Johnson, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Prairie Center Pkwy, Brighton, CO 80601 Phone: 303-498-1910  | |
Ila D Slimowitz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1860 E Egbert St, Brighton, CO 80601 Phone: 303-659-4000 Fax: 303-659-9306  | |
James Froncek,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 N 19th Ave, Brighton, CO 80601 Phone: 303-655-3401  |