Moore, Annette Rene
Moore, Annette Rene is an individual health care provider with primary practice located at 1550 E County Line Rd Ste 300, Indianapolis IN 46227-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moore, Annette Rene can be contacted via phone (317) 497-2300.Contact Information
Primary practice address
1550 E County Line Rd Ste 300
Indianapolis IN 46227-1000
Phone: (317) 497-2300
Fax: (317) 497-2502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 71000750A | Indiana |
Profile Details
NPI number | 1033141155 |
---|---|
LBN Legal business name | Moore, Annette Rene |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2006 |
Last updated | Nov 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033141155 | NPPES |
Indiana | Other | 000000042207 | ANTHEM BCBS |
Indiana | MEDICAID | 100473980 | ANTHEM BCBS |
Indiana | Other | 2439492000 | ANTHEM BCBS |
Indiana | Other | 709911P | ANTHEM BCBS |
Indiana | Other | 500012166 | ANTHEM BCBS |
Indiana | Other | 1161025 | ANTHEM BCBS |
Indiana | Other | 5012042 | ANTHEM BCBS |
Indiana | MEDICAID | 78007887 | ANTHEM BCBS |
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