MEGAN ELIZABETH MOORE MSN, APRN, FNP-C
NPI 1316445901
Nurse Practitioner - Family in Dearborn, MI
Active since January 29, 2018
About Megan Elizabeth Moore Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEGAN ELIZABETH MOORE MSN, APRN, FNP-C (NPI 1316445901) is an individual family provider in Dearborn, Michigan, licensed in Michigan (F10170608) and active in the NPI registry since January 2018.
NPPES Registry Identity
NPI1316445901
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN ELIZABETH MOORECredential: MSN, APRN, FNP-C
Location Address21733 HOMER STDearborn, MI 48124-2928
Mailing Address21733 Homer StDearborn, MI 48124-2928 · (586) 943-6041
Phone(586) 943-6041
Sole ProprietorNo
Enumeration DateJanuary 29, 2018
✔ NPI 1316445901 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · F10170608
21733 HOMER ST, Dearborn, MI 48124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316445901, enumerated as an "individual" on January 29, 2018.
The provider is located at 21733 HOMER ST DEARBORN, MI 48124 and the phone number is (586) 943-6041.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.