Most Relevant Information
Provider Data
| NPI Number: | 1003459561 |
| Provider Name: | SARAH MICHELLE MOORE APRN-CNM, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: | APRN.CNM.019414 |
Most Important Dates
| Enumeration Date: | 10/28/2019 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
909 E STATE BLVD
FORT WAYNE
IN
468053404
Practice Location Phone/Fax
| Phone: | 2604812700 |
| Fax: | 2604812838 |
Provider Mailing Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
468451701
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |