person
Ann R. Moore, NP
Family Nurse Practitioner in Elkhart, Indiana
NPI 1104167386

Ann R. Moore is a Family Nurse Practitioner based in Granger, IN and is specialized in Family. Ann R. Moore practices in Elkhart, IN and has the professional credentials of NP. The NPI Number for Ann R. Moore is 1104167386 and holds a License No. 71003777A (Indiana).

The current practice location address for Ann R. Moore is 500 Arcade Ave, Elkhart, IN and can be reached out via phone at 574-389-5656 and via fax at 574-523-7891.

Location: 500 Arcade Ave, Elkhart, IN, 46530-3245
person
Provider Profile Details
NPI Number
1104167386
Provider Name
Ann R. Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
500 Arcade Ave, Elkhart, IN, 46530-3245
Phone Number
574-389-5656
Fax Number
574-523-7891
Provider Enumeration Date
03/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300012625 05 IN
institution
Provider Business Practice Location Address Details
Address
500 Arcade Ave
City
State
Zip
46514-2485
Phone Number
574-389-5656
Fax Number
574-523-7891
person
Provider Business Mailing Address Details
Address
500 Arcade Ave
City
State
Zip
46514-2485
Phone Number
574-389-5656
Fax Number
574-523-7891
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003777A (Indiana)
Definition
Definition to come...
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