Individual
ELIZABETH JUNE FISH MOATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8580
(317) 392-3211
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009271A
IN
Other
Enumeration date
08/30/2019
Last updated
10/15/2021
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