Misty Moore, LPN in Marion, IN - Licensed Practical Nurse

Misty Moore, LPN is a Licensed Practical Nurse based in Marion, Indiana. Misty Moore is licensed to practice in Indiana (license number 27068383A) and her current practice location is 1700 E 38th St, Marion, Indiana. She can be reached at her office (for appointments etc.) via phone at (765) 674-3321.

NPI number for Misty Moore is 1659075000 and her current mailing address is 1700 E 38th St, Marion, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659075000.

Contact Information

	Misty Moore, LPN
	1700 E 38th St, Marion, IN 46953-4568
	(765) 674-3321
	Not Available

Provider's Profile

Full Name	Misty Moore
Gender	Female
Speciality	Licensed Practical Nurse
Location	1700 E 38th St, Marion, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1659075000
Provider Enumeration Date: 03/29/2023
Last Update Date: 03/29/2023

Medical Identifiers

Medical identifiers for Misty Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659075000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	27068383A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Misty Moore, LPN 1700 E 38th St, Marion, IN 46953-4568 Ph: () -	Misty Moore, LPN 1700 E 38th St, Marion, IN 46953-4568 Ph: (765) 674-3321

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Licensed Practical Nurse Nurses in Marion, IN

Christa Ann Carter, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321
Deedee Wilfong, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 708 E Bradford St, Marion, IN 46952 Phone: 765-618-8798
Kathryn Reed, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 317 S Norton St, Marion, IN 46952 Phone: 765-664-0101
Mrs. Kelly M Folbrecht, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 317 S Norton St, Marion, IN 46952 Phone: 765-664-0101 Fax: 765-668-8391
Mrs. Brooke E Mock, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 317 S Norton St, Marion, IN 46952 Phone: 765-664-0101 Fax: 765-668-8391
Ciera Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 317 S Norton St, Marion, IN 46952 Phone: 765-664-0101 Fax: 765-668-8391
Candice Marie Ramos, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321

Misty Moore, LPN - Licensed Practical Nurse in Marion, IN