Individual provider · Type 1 NPI
Heather Moore, REGISTERED NURSE
Psychiatric/Mental Health Registered Nurse · Pontiac, MI
NPI number
1831977578
Active
Practice location
1200 N Telegraph Rd
Pontiac, MI 48341-1032
Mailing address
16570 Ilene St # A
Detroit, MI 48221-2814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 4704357074 (MI) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1831977578
Heather Moore, REGISTERED NURSE's National Provider Identifier is 1831977578, issued on Sep 14, 2023. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Pontiac, MI. The record was last updated on Sep 14, 2023.