Individual
MRS. AMY LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
575 SHERIDAN RD, NOBLESVILLE, IN 46060-1317
(317) 217-9567
Mailing address
575 SHERIDAN RD, NOBLESVILLE, IN 46060-1317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27042074A
IN
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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