HOLLY S MOORE NPI 1649616525

NPI Information

Holly S Moore is an adult health nurse practitioner in Detroit, MI with 12 years of experience. Holly S Moore NPI is 1649616525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5200 ANTHONY WAYNE DR
SUITE 115
DETROIT, MI
ZIP 48202-945
Phone: (313) 577-5041

The NPI 1649616525 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2013 and was last updated on 5/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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