GLORIA L MOORE FNP NPI 1073235859

NPI Information

  • NPI: 1073235859
  • Provider Name: GLORIA L MOORE, FNP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1530 PINE GROVE AVE STE 1
    PORT HURON, MI
    ZIP 48060
  • Phone: (810) 357-8769

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NPI Details

Gloria L Moore, FNP is an addiction (substance use disorder) counselor in Port Huron, MI. Gloria L Moore, FNP NPI is 1073235859. 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:

1530 PINE GROVE AVE STE 1
PORT HURON, MI
ZIP 48060-370
Phone: (810) 357-8769

The NPI 1073235859 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 9/19/2022 and was last updated on 11/6/2024.

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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3163WX1500XRegistered NurseOstomy Care4704263386MICHIGANNo
4225200000XPhysical Therapy AssistantNo
51041C0700XSocial WorkerClinicalNo
6163WW0000XRegistered NurseWound Care4704263386MICHIGANNo
7363LP2300XNurse PractitionerPrimary Care4704263386MICHIGANNo
8101YA0400XCounselorAddiction (Substance Use Disorder)Yes
9363LF0000XNurse PractitionerFamily4704301246NSA220SAMICHIGANNo

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: 3/30/2025

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