Individual
HEATHER MAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 W EDISON RD STE 122, MISHAWAKA, IN 46545-2784
(574) 855-4475
Mailing address
620 W EDISON RD STE 122, MISHAWAKA, IN 46545-2784
(574) 855-4475
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
28272283A
IN
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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