Individual provider · Type 1 NPI
Ihsin Moo, NP
Nurse Practitioner · Clarkston, MI
Practice location
5701 Bow Pointe Dr Ste 150
Clarkston, MI 48346-3198
Mailing address
275 Hospital Pkwy
San Jose, CA 95119-1106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704280593 (MI) |
| Emergency Medicine Physician | 207P00000X | 0024165531 (VA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1821048018
Ihsin Moo, NP's National Provider Identifier is 1821048018, issued on May 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clarkston, MI. The record was last updated on Dec 9, 2025.