Judith M Ayres
Individual provider Active NPI Critical Care Medicine Registered Nurse · Mooresville, IN
NPI 1124515853 · NPPES record last updated Apr 18, 2018
Key facts
- NPI
- 1124515853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- 28162348A (IN)
- Practice address
- 59 S Clay St
Mooresville, IN 46158-1616 - Phone
- (317) 525-8553
- NPI assigned
- Apr 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28162348A | IN | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 28162348A | IN | Yes |
Addresses
Primary practice location
59 S Clay St
Mooresville, IN 46158-1616
Mailing address
355 W 16TH St Ste 2305
Indianapolis, IN 46202-2207
Phone (317) 962-4732
Other providers in Mooresville, IN
- Abigail Anderson
- Anthony A Andres
- Ashton Therapeutics PLLC
- Ashley Nicole Ashton
- Axcess Solutions LLC
- Adrianne Nichele Banks
- Sheryl L Barnett
- Monica Barringer
- Jana Bartels
- Travis L Bauer
All providers in Mooresville, IN · Critical Care Medicine Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.