Sarah M. Moore APRN-CNM, PMHNP-BC
Nurse Practitioner in Fort Wayne, IN(View on Map)
Full Name
Sarah Michelle Moore APRN-CNM, PMHNP-BC
NPI Number
1003459561
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/28/2019
Specialties
(Taxonomies)Code
363L00000X
367A00000X
163W00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Indiana
Ohio
Ohio
License Number
71009864A
APRN.CNM.019414
RN.446639
Contact
Information
Purpose
Mailing
Location
Address
11109 PARKVIEW PLAZA DR # 117
909 E STATE BLVD
City
Fort Wayne
Fort Wayne
State
IN
IN
Postal Code
46845-1701
46805-3404
Country
US
US
Telephone Number
N/A
(260) 481-2700
Identifiers
Identifier
28255494A
09000336A
APRN.CNM.019414
2022138568
71009864A
CNM05835
RN.446639
Identifier State
IN
IN
OH
Unknown
IN
Unknown
OH
Identifier Issuer
REGISTERED NURSE
NURSE MIDWIFE
APRN
PMHNP-BC
APRN
CERTIFIED NURSE MIDWIFE
REGISTERED NURSE
Health Information Exchange
Endpoint Type
DIRECT
FHIR
FHIR
Endpoint
smoore238945@Direct.Parkviewexchange.com
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Endpoint Description
Unknown
Unknown
Unknown
Use
Unknown
Unknown
Unknown
Content Type
Unknown
Unknown
Unknown
Affiliation
N
N
N
Endpoint Location
1720 Beacon StFort Wayne, IN468054749US
1720 Beacon StFort Wayne, IN468054749US
1720 Beacon StFort Wayne, IN468054749US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/29/2023
Provider Address
Other Nurse Practitioners in Fort Wayne, Indiana:
