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NPI Code Detail

MEDICARE: CLAIRE CATHERINE MOORE PMHNP

MEDICARE: CLAIRE CATHERINE MOORE PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner28260625AIN

General Provider Information

NPI Number : 1952287153
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE CATHERINE MOORE PMHNP
Provider Business Mailing Address
First Line : 5317 E 16TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-4897
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5317 E 16TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-4897
Country : US
Telephone Number : 463-232-7158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2025
Last Update Date : 02/16/2026

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Directions to “ CLAIRE CATHERINE MOORE PMHNP” Practice Location

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