Individual provider · Type 1 NPI
Rebecca Ruth Moore
Neonatal Nurse Practitioner · Detroit, MI
NPI number
1043610033
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Fax (313) 876-1305
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Other practice locations
- 2873 Scenic Ct, Apt. 104, Lake Orion, MI 48360-2370 · (810) 358-7750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4703110355 (MI) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | 4704301129 (MI) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1043610033
Rebecca Ruth Moore's National Provider Identifier is 1043610033, issued on Aug 27, 2014. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Detroit, MI. The record was last updated on Nov 30, 2022.