TINA MARIE MORAN ACNP NPI 1407042930

NPI Information

  • NPI: 1407042930
  • Provider Name: TINA MARIE MORAN, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27351 DEQUINDRE RD
    MADISON HEIGHTS, MI
    ZIP 48071
  • Phone: (248) 967-7000

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NPI Details

Tina Marie Moran, ACNP is an acute care nurse practitioner in Madison Heights, MI with 19 years of experience. Tina Marie Moran, ACNP NPI is 1407042930. 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:

27351 DEQUINDRE RD
MADISON HEIGHTS, MI
ZIP 48071-487
Phone: (248) 967-7000

The NPI 1407042930 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 9/18/2007 and was last updated on 7/21/2022.

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
1163W00000XRegistered NurseRN750803CALIFORNIANo
2163WG0000XRegistered NurseGeneral Practice4704227573MICHIGANNo
3363L00000XNurse PractitionerNP18939CALIFORNIANo
4363LC0200XNurse PractitionerCritical Care MedicineNP18939CALIFORNIANo
5363LA2100XNurse PractitionerAcute Care4704227573MICHIGANYes

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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