Individual
LINDSEY M MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2708 GUILFORD ST, HUNTINGTON, IN 46750-9701
(260) 355-3900
(260) 355-3079
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71006607A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006607A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001356470
ANTHEM PTAN
IN
01
—
000001408489
ANTHEM PTAN
IN
01
—
1102304767
ANTHEM PTAN
IN
05
—
201394630
—
IN
Enumeration date
10/10/2016
Last updated
02/13/2025
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