person
Rosalie Moore, NP
Gerontology Nurse Practitioner in Indianapolis, Indiana
NPI 1104355379

Rosalie Moore is a Gerontology Nurse Practitioner based in Chicago, IN and is specialized in Gerontology. Rosalie Moore practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Rosalie Moore is 1104355379 and holds a License No. 28027184A (Indiana).

The current practice location address for Rosalie Moore is 2240 E 53Rd St # B-1, Indianapolis, IN and can be reached out via phone at 317-653-2730 and via fax at 317-321-1935.

Location: 2240 E 53Rd St # B-1, Indianapolis, IN, 60603-2420
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Provider Profile Details
NPI Number
1104355379
Provider Name
Rosalie Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2240 E 53Rd St # B-1, Indianapolis, IN, 60603-2420
Phone Number
317-653-2730
Fax Number
317-321-1935
Provider Enumeration Date
06/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28027184A 01 IN RN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2240 E 53Rd St # B-1
City
State
Zip
46220-3479
Phone Number
317-653-2730
Fax Number
317-321-1935
person
Provider Business Mailing Address Details
Address
2240 E 53Rd St # B-1
City
State
Zip
46220-3479
Phone Number
317-653-2730
Fax Number
317-321-1935
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
28027184A (Indiana)
Definition
Definition to come...
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