Individual
DENVER MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220
Mailing address
404 S CUMBERLAND AVE, LA FOLLETTE, TN 37766-3736
(423) 494-4485
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
40135
TN
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
4704427620
MI
Other
Enumeration date
05/13/2025
Last updated
01/14/2026
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