Individual provider · Type 1 NPI

Robert Moore

Nurse Practitioner · Ann Arbor, MI

NPI number 1154033405 Active

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Other practice locations

  • 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 · (734) 377-0604

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X4704353754 (MI)
Nurse Practitioner Primary 363L00000X4704353754 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154033405

Robert Moore's National Provider Identifier is 1154033405, issued on Dec 19, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Feb 14, 2023.