Individual provider · Type 1 NPI
Angelique Denise Moore, FNP-C, RN
Family Nurse Practitioner · Farmington Hills, MI
NPI number
1477876019
Active
Practice location
29205 Glencastle Ct
Farmington Hills, MI 48336-1416
Fax (248) 470-2120
Other practice locations
- 15801 W Mcnichols Rd, Detroit, MI 48235-3543 · (313) 272-8450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704195802 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704195802NSA17232 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477876019
Angelique Denise Moore, FNP-C, RN's National Provider Identifier is 1477876019, issued on Mar 10, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Farmington Hills, MI. The record was last updated on Jul 21, 2022.