Individual provider · Type 1 NPI
Sara Jane Moore, AGACNP
Acute Care Nurse Practitioner · Grand Rapids, MI
NPI number
1487204558
Active
Practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
PO Box 5329
Saginaw, MI 48603-0329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704265117 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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- Emily Rose VidriAcute Care Nurse Practitioner Grand Rapids, MI NPI 1093422172
- Olivia Marie Garthe, AGACNP-BCAcute Care Nurse Practitioner Grand Rapids, MI NPI 1093683765
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About NPI 1487204558
Sara Jane Moore, AGACNP's National Provider Identifier is 1487204558, issued on Sep 19, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 8, 2019.