Individual provider · Type 1 NPI
Heather Joy Moss, NP
Adult Health Nurse Practitioner · Grand Rapids, MI
NPI number
1790035160
Active
Practice location
145 Michigan St NE Ste 5120
Grand Rapids, MI 49503-2567
Fax (616) 486-6182
Mailing address
100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704254589 (MI) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1790035160
Heather Joy Moss, NP's National Provider Identifier is 1790035160, issued on Sep 13, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 2, 2021.