Freeman-Moore, Dianne

Freeman-Moore, Dianne is an individual health care provider with primary practice located at 819 Woodmere Dr , Lafayette IN 47905-5604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Freeman-Moore, Dianne can be contacted via phone (765) 448-4646.

Contact Information

Primary practice address
819 Woodmere Dr Lafayette IN 47905-5604
Phone: (765) 448-4646
Fax: (765) 448-4791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71002438A Indiana

Profile Details

NPI number 1376741462
LBN Legal business name Freeman-Moore, Dianne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Apr 1st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376741462 NPPES
Indiana Other 71002438A STATE LICENSE
Indiana MEDICAID 200865610 STATE LICENSE

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