TAMMY SUE MOORE AGACNP-BC NPI 1851972525

NPI Information

NPI: 1851972525
Provider Name: TAMMY SUE MOORE, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
4000 WELLNESS DR
MIDLAND, MI
ZIP 48670
Phone: (989) 615-2923
Get Directions

Tammy Sue Moore, AGACNP-BC is an acute care nurse practitioner in Midland, MI. Tammy Sue Moore, AGACNP-BC NPI is 1851972525. 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:

4000 WELLNESS DR
MIDLAND, MI
ZIP 48670-147
Phone: (989) 615-2923

The enumeration date for this NPI number is 4/15/2021 and was last updated on 9/10/2021.

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	363LA2100X	Nurse Practitioner	Acute Care	4704280850	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4704280850NSA2107H	MEDICAID	MICHIGAN
2	4704280850NSA2107H	OTHER	MICHIGAN	AGACNP-BC

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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