PEGGY MOORE NURSE PRACTIONER NPI 1700071438

NPI Information

NPI: 1700071438
Provider Name: PEGGY MOORE, NURSE PRACTIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3399 POLLOCK RD
GRAND BLANC, MI
ZIP 48439
Phone: (810) 603-0170
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Peggy Moore, NURSE PRACTIONER is a family nurse practitioner in Grand Blanc, MI. Peggy Moore, NURSE PRACTIONER NPI is 1700071438. 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:

3399 POLLOCK RD
GRAND BLANC, MI
ZIP 48439-393
Phone: (810) 603-0170
Fax: (810) 579-1705

The enumeration date for this NPI number is 9/6/2007 and was last updated on 9/6/2007.

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	363LF0000X	Nurse Practitioner	Family	4704164602	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: 5/5/2024

NPI Synchronization or Removal

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