Individual
REBECCA AYNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
231 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 318-1188
(513) 318-1189
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 963-2514
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000293A
IN
367A00000X
Advanced Practice Midwife
COA12727NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109990
—
OH
01
—
259370200
MEDICARE
IN
Enumeration date
11/14/2011
Last updated
06/27/2024
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