IndividualActive
Misty Moore, LPN
NPI 1659075000 · Licensed Practical Nurse · Marion, IN
Misty Moore, LPN is a Licensed Practical Nurse provider in Marion, IN (NPI 1659075000).
Provider details
- NPI number
- 1659075000
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 27068383A (IN)
Practice location
1700 E 38th St
Marion, IN 46953-4568
Phone: (765) 674-3321
Street-level locationGet directions
Mailing address
1700 E 38th St
Marion, IN 46953-4568
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.