Moran, Mercedes Del Carmen

Moran, Mercedes Del Carmen is an sole proprietor health care provider with primary practice located at 621 Memorial Dr Ste 403, South Bend IN 46601-1063. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Moran, Mercedes Del Carmen can be contacted via phone (574) 647-1405.

Contact Information

Primary practice address
621 Memorial Dr Ste 403 South Bend IN 46601-1063
Phone: (574) 647-1405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 4704237039 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004286A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704237039 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 71004286A Indiana

Profile Details

NPI number 1710954102
LBN Legal business name Moran, Mercedes Del Carmen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Jan 5th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710954102 NPPES
Indiana Other 00000080642 BCBS BMG SOUTHEAST NEIGHBORHOOD CTR
Indiana Other 000000815003 BCBS BMG SOUTHEAST NEIGHBORHOOD CTR
Indiana Other 236040264 BCBS BMG SOUTHEAST NEIGHBORHOOD CTR
Indiana Other 000000814990 BCBS BMG SOUTHEAST NEIGHBORHOOD CTR
Indiana MEDICAID 200530760 BCBS BMG SOUTHEAST NEIGHBORHOOD CTR

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