Individual provider · Type 1 NPI

Laraine Yakowich Moody, NP

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1912937301 Active

Practice location

3901 Beaubien, Children's Hospital Of Mi
Detroit, MI 48201

Call (313) 745-5481 Map

Fax (313) 993-0894

Mailing address

4201 St. Antoine - Uhc 5D Mailbox #226, University Pediatricians
Detroit, MI 48201-2153

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	4704110337 (MI)
Pediatric Nurse Practitioner Primary	363LP0200X	4704110337 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1912937301

Laraine Yakowich Moody, NP's National Provider Identifier is 1912937301, issued on Jul 3, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Jan 17, 2017.