person
Betty Karen Moore, FNP
Family Nurse Practitioner in Stevensville, Michigan
NPI 1366746257

Betty Karen Moore is a Family Nurse Practitioner based in Stevensville, MI and is specialized in Family. Betty Karen Moore practices in Stevensville, MI and has the professional credentials of FNP. The NPI Number for Betty Karen Moore is 1366746257 and holds a License No. 4704282019 (Michigan).

The current practice location address for Betty Karen Moore is 5515 Cleveland Ave, Stevensville, MI and can be reached out via phone at 269-429-9644 and via fax at 269-429-4002.

Location: 5515 Cleveland Ave, Stevensville, MI, 49127-9670
person
Provider Profile Details
NPI Number
1366746257
Provider Name
Betty Karen Moore
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
5515 Cleveland Ave, Stevensville, MI, 49127-9670
Phone Number
269-429-9644
Fax Number
269-429-4002
Provider Enumeration Date
01/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366746257 05 MI
institution
Provider Business Practice Location Address Details
Address
5515 Cleveland Ave
City
State
Zip
49127-9670
Phone Number
269-429-9644
Fax Number
269-429-4002
person
Provider Business Mailing Address Details
Address
5515 Cleveland Ave
City
State
Zip
49127-9670
Phone Number
269-429-9644
Fax Number
269-429-4002
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704282019 (Michigan)
Definition
Definition to come...
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