Individual
PETER GEILICH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1402 JEFFERSON DR W, CARMEL, IN 46032-3504
(203) 331-2317
Mailing address
1402 JEFFERSON DR W, CARMEL, IN 46032-3504
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28247712A
IN
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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