Individual provider · Type 1 NPI

Kimberly Marie Moran, NURSE PRACTITIONER

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1649719154 Active

Practice location

8101 Clearvista Pkwy Ste 200
Indianapolis, IN 46256-4675

Fax (317) 621-7885

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X71007189A (IN)
Primary Care Nurse Practitioner 363LP2300X71007189A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71007189A (IN)
Registered Nurse 163W00000X28128529A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1649719154

Kimberly Marie Moran, NURSE PRACTITIONER's National Provider Identifier is 1649719154, issued on Feb 16, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 23, 2026.