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Individual

EMILY MOONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
28134251A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28134251A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
03/30/2023
Last updated
03/30/2023
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