Individual
DANA L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
310 MEDICAL DR STE 101, CARMEL, IN 46032-3078
(317) 415-6350
Mailing address
310 MEDICAL DR STE 101, CARMEL, IN 46032-3078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28202357A
IN
363L00000X
Nurse Practitioner
71004048A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004048A
IN
Other
Enumeration date
07/01/2008
Last updated
07/26/2022
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