Individual
ALEXIS DIANA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Mailing address
5806 WALKABOUT WAY, BROWNSBURG, IN 46112-2914
(765) 592-3725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28260241A
IN
363LW0102X
Women's Health Nurse Practitioner
71017555A
IN
Other
Enumeration date
10/07/2025
Last updated
12/19/2025
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