Individual
DIANNE FREEMAN-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
819 WOODMERE DR, LAFAYETTE, IN 47905-5604
(765) 448-4646
(765) 448-4791
Mailing address
819 WOODMERE DR, LAFAYETTE, IN 47905-5604
(765) 448-4646
(765) 448-4791
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71002438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200865610
—
IN
01
—
71002438A
STATE LICENSE
IN
Enumeration date
07/10/2007
Last updated
04/01/2009
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