LARAINE YAKOWICH MOODY NP NPI 1912937301

NPI Information

NPI: 1912937301
Provider Name: LARAINE YAKOWICH MOODY, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
Phone: (313) 745-5481
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Laraine Yakowich Moody, NP is a pediatrics nurse practitioner in Detroit, MI. Laraine Yakowich Moody, NP NPI is 1912937301. 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:

3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI
ZIP 48201
Phone: (313) 745-5481
Fax: (313) 993-0894

The enumeration date for this NPI number is 7/3/2006 and was last updated on 1/17/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		4704110337	MICHIGAN	No
2	363LP0200X	Nurse Practitioner	Pediatrics	4704110337	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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