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Melissa Moore
Licensed Practical Nurse in Wyandotte, Michigan
NPI 1528450095

Melissa Moore is a Licensed Practical Nurse based in Wyandotte, MI. Melissa Moore practices in Wyandotte, MI. The NPI Number for Melissa Moore is 1528450095 and holds a License No. 4703114290 (Michigan).

The current practice location address for Melissa Moore is 3393 16Th St, Wyandotte, MI and can be reached out via phone at 734-363-5259.

Location: 3393 16Th St, Wyandotte, MI, 48192-6107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528450095
Provider Name
Melissa Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
3393 16Th St, Wyandotte, MI, 48192-6107
Phone Number
734-363-5259
Fax Number
Provider Enumeration Date
02/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3393 16Th St
City
Wyandotte
State
Michigan
Zip
48192-6107
Phone Number
734-363-5259
Fax Number
person
Provider Business Mailing Address Details
Address
3393 16Th St
City
Wyandotte
State
Michigan
Zip
48192-6107
Phone Number
734-363-5259
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703114290 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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