Individual provider · Type 1 NPI

Ruth M. Moineau, NURSE PRACTITONER

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1205173572 Active

Practice location

3950 Beaubien, Children's Hospital Of Mi/ Specialty Center
Detroit, MI 48201

Fax (313) 993-8685

Mailing address

4201 St. Antoine Uhc 5D, University Pediatricians
Detroit, MI 48201

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704191752 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1205173572

Ruth M. Moineau, NURSE PRACTITONER's National Provider Identifier is 1205173572, issued on Jan 7, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Jan 7, 2013.