Individual provider · Type 1 NPI

Michael Moore

Psychiatric/Mental Health Nurse Practitioner · Medina, OH

NPI number 1619635117 Active

Practice location

3593 Medina Rd # 181
Medina, OH 44256-8182

Mailing address

3220 S Locust St
Denver, CO 80222-7410

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X478286 (OH)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0030981 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1619635117

Michael Moore's National Provider Identifier is 1619635117, issued on Dec 1, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Medina, OH. The record was last updated on Apr 8, 2022.