Individual
DEBORAH C MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-5800
(231) 935-9116
Mailing address
224 CIRCLE DR, TRAVERSE CITY, MI 49684-2700
(231) 935-0600
(231) 935-0613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704181867
MI
Other
Enumeration date
06/05/2006
Last updated
12/23/2020
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