Elizabeth June Fish Moats, FNP
Nurse Practitioner, Family in Shelbyville, IN. Individual provider (NPI-1).
NPI number1962050146
StatusActive
Last updated in NPPESOct 15, 2021
Details
- NPI
- 1962050146
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth June Fish Moats
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2019
- Certification date
- Oct 15, 2021
- Last updated
- Oct 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71009271A | IN | Yes |
Practice location
2451 Intelliplex DrShelbyville, IN 46176-8580
Phone 317-392-3211
Mailing address
30 W Rampart St Ste 200Shelbyville, IN 46176-8846
Phone 317-421-2012 · Fax 317-398-1851
Other practice locations
720 Eskenazi Ave Fl 4
Indianapolis, IN 46202-5189
Indianapolis, IN 46202-5189
Phone 317-880-6868 · Fax 317-880-0439
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