person
Annette Rene Moore, CNP
Obstetrics & Gynecology Nurse Practitioner in Indianapolis, Indiana
NPI 1033141155

Annette Rene Moore is a Obstetrics & Gynecology Nurse Practitioner based in Indianapolis, IN and is specialized in Obstetrics & Gynecology. Annette Rene Moore practices in Indianapolis, IN and has the professional credentials of CNP. The NPI Number for Annette Rene Moore is 1033141155 and holds a License No. 71000750A (Indiana).

The current practice location address for Annette Rene Moore is 1550 E County Line Rd, Indianapolis, IN and can be reached out via phone at 317-497-2300 and via fax at 317-497-2502. You can also correspond with Annette Rene Moore through the mailing address at 6626 E 75TH ST, INDIANAPOLIS, IN - 46250-2805 (mailing address contact number: ).

Location: 1550 E County Line Rd, Indianapolis, IN, 46250-2805
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Provider Profile Details
NPI Number
1033141155
Provider Name
Annette Rene Moore
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
1550 E County Line Rd, Indianapolis, IN, 46250-2805
Phone Number
317-497-2300
Fax Number
317-497-2502
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000042207 01 IN ANTHEM BCBS
100473980 05 IN
2439492000 01 KY PASSPORT ADVANTAGE
709911P 01 IN SIHO
500012166 01 MEDICARE RAILROAD
1161025 01 KY PASSPORT KY MEDICAID
5012042 01 AETNA
78007887 05 KY
institution
Provider Business Practice Location Address Details
Address
1550 E County Line Rd
City
State
Zip
46227-1000
Phone Number
317-497-2300
Fax Number
317-497-2502
person
Provider Business Mailing Address Details
Address
1550 E County Line Rd
City
State
Zip
46227-1000
Phone Number
317-497-2300
Fax Number
317-497-2502
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
71000750A (Indiana)
Definition
Definition to come...
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