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Organization

PROSPERING IN HEALTH CONSULTING LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
28475 GREENFIELD RD STE 113, SOUTHFIELD, MI 48076-3034
(248) 943-4535
(248) 552-8144
Mailing address
28475 GREENFIELD RD STE 113, SOUTHFIELD, MI 48076-3034
(248) 943-4535

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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