ALYSSIA MOORE PA NPI 1679029458

NPI Information

  • NPI: 1679029458
  • Provider Name: ALYSSIA MOORE, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 26657 WOODWARD AVE STE 200
    HUNTINGTON WOODS, MI
    ZIP 48070
  • Phone: (248) 957-7999

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NPI Details

Alyssia Moore, PA is a medical physician assistant in Huntington Woods, MI. Alyssia Moore, PA NPI is 1679029458. 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:

26657 WOODWARD AVE STE 200
HUNTINGTON WOODS, MI
ZIP 48070-304
Phone: (248) 957-7999

The enumeration date for this NPI number is 8/31/2016 and was last updated on 11/2/2017.

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
1363AM0700XPhysician AssistantMedical5601007869MICHIGANYes

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: 11/21/2025

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