Individual provider · Type 1 NPI

Miranda Moore, PA-C

Physician Assistant · Richmond, IN

NPI number 1912307778 Active

Practice location

1050 Reid Pkwy Ste 100
Richmond, IN 47374-1156

Fax (765) 935-8453

Mailing address

1100 Reid Parkway, Medical Staff Service
Richmond, IN 47374-1157

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X1000372A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912307778

Miranda Moore, PA-C's National Provider Identifier is 1912307778, issued on Aug 29, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Richmond, IN. The record was last updated on May 17, 2021.