DR. QUANZA ELISE MOORING PHD FNP-BC NPI 1770281016

NPI Information

  • NPI: 1770281016
  • Provider Name: DR. QUANZA ELISE MOORING, PHD, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11260 E JEFFERSON AVE
    DETROIT, MI
    ZIP 48214
  • Phone: (313) 749-0148

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NPI Details

DR. Quanza Elise Mooring, PHD, FNP-BC is a family nurse practitioner in Detroit, MI with 3 years of experience. DR. Quanza Elise Mooring, PHD, FNP-BC NPI is 1770281016. 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:

11260 E JEFFERSON AVE
DETROIT, MI
ZIP 48214-320
Phone: (313) 749-0148

The NPI 1770281016 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 2/16/2023 and was last updated on 2/6/2025.

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
1363LF0000XNurse PractitionerFamilyAPRN04273RHODE ISLANDNo
2363LF0000XNurse PractitionerFamily5020824NORTH CAROLINANo
3363LF0000XNurse PractitionerFamily36864TENNESSEENo
4363LF0000XNurse PractitionerFamily0024190959VIRGINIANo
5363LF0000XNurse PractitionerFamily4025055KENTUCKYNo
6363LF0000XNurse PractitionerFamily1110862TEXASYes

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

NPI Synchronization or Removal

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