Individual
ELIZABETH VICTORIA MOERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
606 LINCOLNWAY, VALPARAISO, IN 46383
(219) 247-4003
(574) 203-9702
Mailing address
606 LINCOLNWAY, VALPARAISO, IN 46383-5728
(219) 247-4003
(574) 203-9702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009428A
IN
363LF0000X
Family Nurse Practitioner
71009428A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032267
—
IN
05
—
300048648
—
IN
Enumeration date
09/28/2019
Last updated
08/31/2023
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