NPI 1003459561

Sarah Michelle Moore, APRNCNMPMHNPBC

Practitioner Nurse Practitioner Fort Wayne, IN

Practice location

Address: 909 E State Blvd, Fort Wayne, IN 46805-3404
Phone: (260) 481-2700
Fax: (260) 481-2838
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (3)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71009864A (IN)

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Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence APRN.CNM.019414 (OH)

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence RN.446639 (OH)

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Registry record

NPI: 1003459561
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2019
Record last updated: 29 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.