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Debra A Moon, NNP

Nurse Practitioner, Neonatal in Indianapolis, IN. Individual provider (NPI-1).

NPI number1154772465
StatusActive
Last updated in NPPESApr 19, 2017

Details

NPI
1154772465
Entity type
Individual (NPI-1)
Name
Debra A Moon
Credential
NNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2016
Last updated
Apr 19, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LN0000X Nurse Practitioner, Neonatal71006265AINYes

Other names

  • Debra A Nourse (Former Name)

Practice location

8111 Township Line Rd
Indianapolis, IN 46260-2479

Phone 317-415-7921

Mailing address

10330 N Meridian St # 300
Indianapolis, IN 46290-1024

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