Individual
AUDRA LYN MOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13090 PETIGRU DR, CARMEL, IN 46032-4436
(317) 733-8608
Mailing address
13090 PETIGRU DR, CARMEL, IN 46032-4436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28212891A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009047A
IN
Other
Enumeration date
06/13/2019
Last updated
04/24/2023
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