Individual provider · Type 1 NPI

Lily Moore

Family Nurse Practitioner · Indianapolis, IN

NPI number 1386280592 Active

Practice location

515 E Market St Apt 502
Indianapolis, IN 46204-3051

Call (317) 696-8404 Map

Mailing address

PO Box 2213
Clarksville, IN 47131-2213

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71009935A (IN)
Adult Health Nurse Practitioner 363LA2200X2019051245 (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1386280592

Lily Moore's National Provider Identifier is 1386280592, issued on Nov 22, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 30, 2021.