Moore, Rebekah

Moore, Rebekah is an individual health care provider with primary practice located at 654 S Walker St , Bloomington IN 47403. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Rebekah can be contacted via phone (812) 369-4344.

Contact Information

Primary practice address
654 S Walker St Bloomington IN 47403
Phone: (812) 369-4344
Fax: (812) 369-4314
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004002A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71004002A Indiana

Profile Details

NPI number 1144576232
LBN Legal business name Moore, Rebekah
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2012
Last updated Nov 18th, 2022 - about 3 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 1144576232 NPPES
Indiana MEDICAID 201109040

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