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MELISSA MOORE
NPI 1528450095
Licensed Practical Nurse in Wyandotte, MI

Active since February 20, 2015
3393 16TH ST, WYANDOTTE, MI 48192(734) 363-5259 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA MOORE (NPI 1528450095) is an individual licensed practical nurse in Wyandotte, Michigan, licensed in Michigan (4703114290) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1528450095
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMELISSA MOORE
Location Address3393 16TH STWyandotte, MI 48192-6107
Mailing Address3393 16th StWyandotte, MI 48192-6107 · (734) 363-5259
Phone(734) 363-5259
Sole ProprietorNo
Enumeration DateFebruary 20, 2015
✔ NPI 1528450095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703114290
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3393 16TH ST, Wyandotte, MI 48192
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Moore's NPI number?

The NPI number for Melissa Moore is 1528450095. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Where is Melissa Moore located?

Melissa Moore practices at 3393 16th St, Wyandotte, MI 48192. The listed phone number is (734) 363-5259.

What is Melissa Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Melissa Moore was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.