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Organization

NPH CONSULTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELIQUE D MOORE FNP (NP)
(248) 943-4535
Entity
Organization

Contact information

Practice address
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4318
(124) 894-3453
(248) 552-8144
Mailing address
2222 W GRAND RIVER AVE, OKEMOS, MI 48864-1604
(248) 943-4535

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
10/16/2020
Last updated
10/16/2020
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