Individual
BEVERLY ANN MOELLERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15024 SEA HOLLY CT, FORT WAYNE, IN 46814-8930
(260) 602-2659
Mailing address
15024 SEA HOLLY CT, FORT WAYNE, IN 46814-8930
(260) 602-2659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001367A
IN
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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