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NPI Code Detail

MEDICARE: MORAA M BYERS NP

MEDICARE:   MORAA M BYERS  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner71014303AIN
2363LA2200XAdult Health Nurse Practitioner71014303AIN
3363LP2300XPrimary Care Nurse Practitioner71014303AIN

General Provider Information

NPI Number : 1174396998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORAA M BYERS NP
Provider Business Mailing Address
First Line : 8900 KEYSTONE XING STE 540
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-2130
Country : US
Telephone Number : 317-429-0120
Fax Number : 317-800-7730
Provider Business Practice Location Address
First Line : 8900 KEYSTONE XING STE 540
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-2130
Country : US
Telephone Number : 317-429-0120
Fax Number : 317-800-7730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2023
Last Update Date : 01/22/2026

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