Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFERY W MOORE, CRNA
ActiveMR. JEFFERY W MOORE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in TIPTON, Indiana. NPI 1801870480 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · TIPTON, IN
Registration Details
- NPI Number
- 1801870480
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2005 (20.699329469984 yrs)
- Last Updated
- Oct 1, 2014
- Licenses
-
28087122 (IN)28087122A (IN)
Practice Information
- Address
-
1000 S MAIN STTIPTON, IN, 460729753Browse IN providers · Browse ZIP 46072
- Phone
- 7656758521
- Fax
- 7656758520
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.