NPI 1003510157

Tammy Moehle

Practitioner Oncology Registered Nurse Fort Wayne, IN

Practice location

Address: 2121 Lake Ave, Fort Wayne, IN 46805-5100
Phone: (260) 426-5431

Registered specialties

Oncology Registered Nurse Primary

Nursing Service Providers Taxonomy 163WX0200X Licence 28158466A (IN)

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Registry record

NPI: 1003510157
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2023
Record last updated: 30 Mar 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.