Moore, Annette Rene

Moore, Annette Rene is an individual health care provider with primary practice located at 1550 E County Line Rd Ste 300, Indianapolis IN 46227-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moore, Annette Rene can be contacted via phone (317) 497-2300.

Contact Information

Primary practice address
1550 E County Line Rd Ste 300 Indianapolis IN 46227-1000
Phone: (317) 497-2300
Fax: (317) 497-2502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 71000750A Indiana

Profile Details

NPI number 1033141155
LBN Legal business name Moore, Annette Rene
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 27th, 2023 - about 2 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 1033141155 NPPES
Indiana Other 000000042207 ANTHEM BCBS
Indiana MEDICAID 100473980 ANTHEM BCBS
Indiana Other 2439492000 ANTHEM BCBS
Indiana Other 709911P ANTHEM BCBS
Indiana Other 500012166 ANTHEM BCBS
Indiana Other 1161025 ANTHEM BCBS
Indiana Other 5012042 ANTHEM BCBS
Indiana MEDICAID 78007887 ANTHEM BCBS

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