Individual
MRS. LINDA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, 6TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL, ANN ARBOR, MI 48109-4234
(734) 936-4185
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704241910
MI
363LF0000X
Family Nurse Practitioner
08660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3039385
—
OH
05
—
4825084
—
MI
Enumeration date
03/24/2006
Last updated
02/02/2017
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