Chase Marie Moore

Individual provider Active NPI Registered Nurse · Daleville, IN

NPI 1932077641 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1932077641
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
28284671A (IN)
Practice address
9724 N County Road 800 W
Daleville, IN 47334-9508
Phone
(765) 621-0205
NPI assigned
Oct 24, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28284671AINMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28284671A IN Yes

Addresses

Primary practice location

9724 N County Road 800 W
Daleville, IN 47334-9508

Mailing address

9724 N County Road 800 W
Daleville, IN 47334-9508

Other providers in Daleville, IN

All providers in Daleville, IN · Registered Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.