Individual
MICHELE A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
45 N 250 W, LAGRANGE, IN 46761-8667
(260) 499-4233
(260) 499-4235
Mailing address
511 BISON BLVD, KENDALLVILLE, IN 46755-1923
(260) 927-4198
(260) 499-4233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28159229
IN
363LF0000X
Family Nurse Practitioner
Primary
71003528A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000697704
ANTHEM
IN
05
—
201010140
—
IN
Enumeration date
02/01/2011
Last updated
02/07/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us