Individual
MRS. REBEKAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2415 MITCHELL RD STE C, BEDFORD, IN 47421-4747
(812) 393-8070
(812) 954-5024
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 343-6562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004002A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71004002A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201109040
—
IN
Enumeration date
07/26/2012
Last updated
06/26/2025
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