Individual
MICHAELA D MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
315 E DAVIS DR, TERRE HAUTE, IN 47802-4072
(812) 645-3472
Mailing address
PO BOX 163, FARMERSBURG, IN 47850-0163
(812) 243-4502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28182922A
IN
Other
Enumeration date
09/10/2018
Last updated
10/20/2020
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