Moore, Nicole M

Moore, Nicole M is an individual health care provider with primary practice located at 2630 Grant Line Rd , New Albany IN 47150-4053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Moore, Nicole M can be contacted via phone (812) 945-0145.

Contact Information

Primary practice address
2630 Grant Line Rd New Albany IN 47150-4053
Fax: (812) 949-5422
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28174888A Indiana

Profile Details

NPI number 1700149101
LBN Legal business name Moore, Nicole M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated May 7th, 2018 - about 7 years ago

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.

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