# MERCEDES DEL CARMEN MORAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710954102
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4704237039 | MI | — |
| 363L00000X | Nurse Practitioner | 71004286A | IN | — |
| 367A00000X | Advanced Practice Midwife | 4704237039 | MI | — |
| 367A00000X | Advanced Practice Midwife | 71004286A | IN | Yes |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 01/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00000080642 | BCBS BMG SOUTHEAST NEIGHBORHOOD CTR | IN |
| 01 | — | 000000814990 | BCBS BMG CENTRAL NEIGHBORHOOD HEALTH CTR | IN |
| 01 | — | 000000815003 | BCBS BMG CENTENNIAL NEIGHBORHOOD HEALTH CTR | IN |
| 05 | — | 200530760 | — | IN |
| 01 | — | 236040264 | MEDICARE PTAN | IN |