- Practice location
- 17731 E Warren Ave, Detroit, MI 48224-1329
- Phone
- 734-489-9863
- Fax
- —
- Last updated
- July 16, 2026
Michelle Lynn Moore is a Nurse Practitioner, Family based in Detroit, MI. Michelle Lynn Moore practices in Detroit, MI and has the professional credentials of NP. The NPI Number for Michelle Lynn Moore is 1215581970 and holds a License No. 0024183753 (VA). The current practice location address for Michelle Lynn Moore is 17731 E Warren Ave, Detroit, MI 48224-1329 and can be reached out via phone at 734-489-9863.
Provider Profile Details
- NPI Number
- 1215581970
- Provider Name
- Michelle Lynn Moore
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17731 E Warren Ave, Detroit, MI 48224-1329
- Phone Number
- 734-489-9863
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 30, 2019
- Last Update Date
- July 16, 2026
- Certification Date
- July 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17731 E Warren Ave
Detroit, MI 48224-1329 - City
- Detroit
- State
- Michigan
- Zip
- 48224-1329
- Phone Number
- 734-489-9863
Provider Business Mailing Address Details
- Address
- 17731 E Warren Ave
Detroit, MI 48224-1329 - City
- Detroit
- State
- MI
- Zip
- 48224-1329
License Information
- License Number (1)
- 0024183753
- License State (1)
- VA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 4704196541
- License State (2)
- MI
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (3)
- SP027347
- License State (3)
- PA
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X
- License Number (4)
- 11025305
- License State (4)
- FL
- Taxonomy (4)
- Nurse Practitioner, Family · 363LF0000X
- License Number (5)
- NP500019019
- License State (5)
- DC
- Taxonomy (5)
- Nurse Practitioner, Family · 363LF0000X
- License Number (6)
- LG0012287
- License State (6)
- DE
- Taxonomy (6)
- Nurse Practitioner, Family · 363LF0000X
- License Number (7)
- R251830
- License State (7)
- MD
- Taxonomy (7)
- Nurse Practitioner, Family · 363LF0000X
- License Number (8)
- APRN03417
- License State (8)
- RI
- Taxonomy (8)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Detroit, MI
View all Nurse Practitioner, Family providers in Detroit →- Mrs. Timanika A Dansby, FNP-BCNurse Practitioner, Family · NPI 1083016547
- Stephanie D Boerger, NURSE PRACTITIONERNurse Practitioner, Family · NPI 1548735483
- Sandeep KumarPathology, Anatomic Pathology & Clinical Pathology · NPI 1295221034
- Marshall Balderston, DOInternal Medicine · NPI 1205570850
- Ashraf E Mohamed, MDPsychiatry & Neurology, Neurology · NPI 1013951029
- Haroutioun Garabedian, MDStudent in an Organized Health Care Education/Training Program · NPI 1548950330
Frequently Asked Questions
What is the NPI number of Michelle L Moore, NP?
The NPI number of Michelle L Moore, NP is 1215581970. It was assigned on July 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Michelle L Moore, NP?
Michelle L Moore, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VA under license number 0024183753.
Where does Michelle L Moore, NP practice?
The practice location is 17731 E Warren Ave, Detroit, MI 48224-1329. The office can be reached at 734-489-9863 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215581970 directly on the NPPES registry website.