Individual
RACHAEL MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2222 RIETH BLVD SUITE 100, GOSHEN, IN 46526-5869
(574) 875-1200
Mailing address
18094 COUNTY ROAD 40, GOSHEN, IN 46526-6992
(574) 312-8889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021570
—
IN
Enumeration date
08/23/2018
Last updated
04/29/2023
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