Individual
KATHERYN MOREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 WESTFIELD RD, SUITE 100, NOBLESVILLE, IN 46060-1443
(317) 773-5876
(317) 776-0363
Mailing address
PO BOX 869, NOBLESVILLE, IN 46061-0869
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01062072A
IN
207V00000X
Obstetrics & Gynecology Physician
35-084823
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000481725
ANTHEM
IN
05
—
200103890
—
IN
05
—
2494859
—
OH
01
—
Q0434002
SHO
IN
Enumeration date
03/08/2006
Last updated
03/23/2012
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