Individual
JULIANNE MARY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4711 EVANS AVE, VALPARAISO, IN 46383-8325
(888) 602-9004
Mailing address
14 E 700 N, VALPARAISO, IN 46383-8901
(219) 628-0613
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28136866A
IN
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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