Individual
MICHELLE LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17731 E WARREN AVE, DETROIT, MI 48224-1329
(734) 489-9863
Mailing address
17731 E WARREN AVE, DETROIT, MI 48224-1329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024183753
VA
363LF0000X
Family Nurse Practitioner
11025305
FL
363LF0000X
Family Nurse Practitioner
Primary
4704196541
MI
363LF0000X
Family Nurse Practitioner
APRN03417
RI
363LF0000X
Family Nurse Practitioner
LG0012287
DE
363LF0000X
Family Nurse Practitioner
NP500019019
DC
363LF0000X
Family Nurse Practitioner
R251830
MD
363LF0000X
Family Nurse Practitioner
SP027347
PA
Other
Enumeration date
07/30/2019
Last updated
03/04/2026
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