Moore, Sarah Michelle
Moore, Sarah Michelle is an individual health care provider with primary practice located at 909 E State Blvd , Fort Wayne IN 46805-3404. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moore, Sarah Michelle can be contacted via phone (260) 481-2700.Contact Information
Primary practice address
909 E State Blvd
Fort Wayne IN 46805-3404
Phone: (260) 481-2700
Fax: (260) 481-2838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | APRN.CNM.019414 | Ohio |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN.446639 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71009864A | Indiana |
Profile Details
| NPI number | 1003459561 |
|---|---|
| LBN Legal business name | Moore, Sarah Michelle |
| Credentials | APRN-CNM, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2019 |
| Last updated | Aug 29th, 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 | 1003459561 | NPPES |
| Indiana | Other | 28255494A | REGISTERED NURSE |
| Indiana | Other | 09000336A | REGISTERED NURSE |
| Indiana | Other | APRN.CNM.019414 | REGISTERED NURSE |
| Indiana | Other | 2022138568 | REGISTERED NURSE |
| Indiana | Other | 71009864A | REGISTERED NURSE |
| Indiana | Other | CNM05835 | REGISTERED NURSE |
| Indiana | Other | RN.446639 | REGISTERED NURSE |
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