Individual
LEAH MICHELLE MOULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2539
Mailing address
1735 STAFFORD RD, PLAINFIELD, IN 46168-2336
(317) 496-6804
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28161973A
IN
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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