Individual
MS. ALISA HELAINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 718-4740
Mailing address
2179 GAMBEL LN, DANVILLE, IN 46122-8069
(559) 999-3103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71015836A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
95015655
CA
Other
Enumeration date
11/20/2020
Last updated
05/08/2026
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