Individual
MRS. LORETTA SUE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES, FOUST HALL 108, MT PLEASANT, MI 48859-0001
(989) 774-1748
(989) 774-4335
Mailing address
3888 MCGUIRK ST, MT PLEASANT, MI 48858-9575
(989) 773-5215
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
4704182444
MI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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