Individual provider · Type 1 NPI

Candice Diane Moad, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1942641840 Active

Practice location

355 W 16th St, Suite 5100
Indianapolis, IN 46202-2207

Fax (317) 924-8472

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 · (888) 484-3258

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28170182A (IN)
Nurse Practitioner 363L00000X71004660A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71004660A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1942641840

Candice Diane Moad, NP's National Provider Identifier is 1942641840, issued on Jul 9, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 13, 2025.