Individual
MS. MEGAN CLAUDINE MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1904 SHENANDOAH CT, LAFAYETTE, IN 47905-4043
(765) 421-4632
Mailing address
1904 SHENANDOAH CT, LAFAYETTE, IN 47905-4043
(765) 421-4632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28175923A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012790A
IN
Other
Enumeration date
09/28/2021
Last updated
09/16/2022
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