IndividualActive
Amy Moore
NPI 1295307510 · Gerontology Registered Nurse · Goshen, IN
Provider details
- NPI number
- 1295307510
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28229536A (IN)
Mailing address
1222 E Beardsley Ave
Elkhart, IN 46514-3504
Registry dates
- Enumerated
- 2021-07-15
- Last updated
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.