Individual provider · Type 1 NPI
Michele A. Moore, N.P.
Family Nurse Practitioner · Lagrange, IN
NPI number
1275839706
Active
Practice location
45 N 250 W
Lagrange, IN 46761-8667
Fax (260) 499-4235
Mailing address
511 Bison Blvd
Kendallville, IN 46755-1923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28159229 (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 71003528A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275839706
Michele A. Moore, N.P.'s National Provider Identifier is 1275839706, issued on Feb 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lagrange, IN. The record was last updated on Feb 7, 2017.