MS. Patricia Louise Moore, MEDICAIDPROVIDER
MS. Patricia Louise Moore, MEDICAIDPROVIDER is a Medical Physician Assistant in Indianaplis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2010
Practice location Address checks out
1453 S BancroftIndianaplis, IN 46203-3709
Phone: (317) 410-7339
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 200974970A (IN) |
|---|
Record details
| NPI number | 1356643324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MEDICAIDPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | November 24, 2010 |
| Last updated in NPPES | May 4, 2011 |