Individual provider · Type 1 NPI
Laura Moran
Acute Care Nurse Practitioner · Detroit, MI
NPI number
1093479255
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
1644 Harvard Dr
Madison Heights, MI 48071-3074
Other practice locations
- 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 · (248) 898-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 4704335317 (MI) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704335317 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1093479255
Laura Moran's National Provider Identifier is 1093479255, issued on Oct 25, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Aug 29, 2025.