Individual provider · Type 1 NPI

Gloria L. Moore, FNP

Family Nurse Practitioner · Southfield, MI

NPI number 1073235859 Active

Practice location

18000 W 9 Mile Rd Ste 525
Southfield, MI 48075-4080

Fax (877) 311-5596

Mailing address

5316 Lakeshore Rd
Fort Gratiot, MI 48059-3118

Other practice locations

  • 1530 Pine Grove Ave Ste 1, Port Huron, MI 48060-3370 · (810) 357-8769
  • 2601 Electric Ave, Port Huron, MI 48060-6587 · (810) 216-1500
  • 5316 Lakeshore Rd, Fort Gratiot, MI 48059-3118 · (810) 357-8792

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor 101YM0800XNone listed
Primary Care Nurse Practitioner 363LP2300X4704263386 (MI)
Family Nurse Practitioner Primary 363LF0000X4704301246NSA220SA (MI)
Ostomy Care Registered Nurse 163WX1500X4704263386 (MI)
Physical Therapy Assistant 225200000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Wound Care Registered Nurse 163WW0000X4704263386 (MI)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1073235859

Gloria L. Moore, FNP's National Provider Identifier is 1073235859, issued on Sep 19, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Apr 6, 2026.