Local City Search for Nurses, Advanced Nurse Practitioners, Physician Assistants and Care FacilitiesMR. 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:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | IN | 28087122 |
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | IN | 28087122A |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 200345230 | IN | 05 | |
| 200345230A | IN | 05 | |
| ANTHEM - TIPTON HOSPITAL | 000000603596 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
