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VANESSA L MOORE, FNP – NPI #1255525770
Family

NPI Profile for VANESSA L MOORE in BEDFORD, IN.

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Contact Information

VANESSA L MOORE, FNP
2900 W 16TH STREET
BEDFORD, IN  47446
 Phone: 812-275-5993
 Fax: 812-275-1352
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Family

 363LF0000X 50 Nurse Practitioner
 

Registered Nurse

 163W00000X
Indicates primary specialty

NPI Profile & details for VANESSA L MOORE · (Female)

NPI # 1255525770
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/28/2007
Last updated 10/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 28148177A
  • IN License # 71002478
  • IN License # 71002478A
  • IN Medicaid 200873510
  • IN Other 237042323 COMMERCIAL
  • IN Other 090540102 MEDICARE PTAN
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
  • INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL - (Critical Access)
    2900 W 16TH ST
    BEDFORD, IN 47421
  • INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL - (Critical Access)
    642 W HOSPITAL RD
    PAOLI, IN 47454
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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