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MR. JEFFERY W MOORE CRNA

Nursing Yellow Pages

Tipton, Indiana

Provider NPI: 1801870480

Provider Information:
MR. JEFFERY W MOORE CRNA


Practice Location:
1000 S MAIN ST  TIPTON, IN 46072 US
Tel: 765-675-8521  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
IN28087122
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
IN28087122A

Other Provider Identifiers:

IssuerNumberStateType
200345230IN05
200345230AIN05
ANTHEM - TIPTON HOSPITAL000000603596IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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