Individual
MARIA C MOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 838-6302
Mailing address
1200 W WHITE RIVER BLVD STE 201, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71004729A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000872940
ANTHEM PROVIDER NUMBER
IN
05
—
201220530
—
IN
Enumeration date
06/19/2013
Last updated
01/27/2021
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