Individual
VANESSA MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
14 E MAIN ST, BROWNSBURG, IN 46112-1214
(317) 979-9652
Mailing address
6075 BROOKSHIRE DR, PITTSBORO, IN 46167-9305
(317) 979-9652
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012652A
IN
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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