Colleen Marie Moreno, CNM | |
725 Welch Rd, Palo Alto, CA 94304-1601 | |
(650) 497-8000 | |
Not Available |
Full Name | Colleen Marie Moreno |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 725 Welch Rd, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730572892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 235691 (California) | Primary |
Entity Name | Lpch Medical Group Div Of Lucile |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
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Colleen Marie Moreno, CNM 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 | Colleen Marie Moreno, CNM 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 |
Lynn Ellen Chiarello, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Susana Muratalla Mendez, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Mrs. Mary Jane Jerry Ajlouny, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 770 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 |