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Individual

MERCY MOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
7962 OAKLANDON RD STE 104, INDIANAPOLIS, IN 46236-7502
(317) 676-9952
(317) 647-4375
Mailing address
7962 OAKLANDON RD STE 104, INDIANAPOLIS, IN 46236-7502
(317) 676-9952
(317) 647-4375

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004940A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
07004940A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201262000
IN
01
P01679081
MEDICARE RR
IN
Enumeration date
02/04/2011
Last updated
02/21/2026
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