person
Holly S Moore
Adult Health Nurse Practitioner in Detroit, Michigan
NPI 1649616525

Holly S Moore is an Adult Health Nurse Practitioner based in Detroit, MI and is specialized in Adult Health. Holly S Moore practices in Detroit, MI. The NPI Number for Holly S Moore is 1649616525 and holds a License No. 4704222396 (Michigan).

The current practice location address for Holly S Moore is 5200 Anthony Wayne Dr, Detroit, MI and can be reached out via phone at 313-577-5041. You can also correspond with Holly S Moore through the mailing address at 5200 ANTHONY WAYNE DR, DETROIT, MI - 48202-3945 (mailing address contact number: ).

Location: 5200 Anthony Wayne Dr, Detroit, MI, 48202-3945
person
Provider Profile Details
NPI Number
1649616525
Provider Name
Holly S Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
5200 Anthony Wayne Dr, Detroit, MI, 48202-3945
Phone Number
313-577-5041
Fax Number
Provider Enumeration Date
05/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5200 Anthony Wayne Dr
City
State
Zip
48202-3945
Phone Number
313-577-5041
Fax Number
person
Provider Business Mailing Address Details
Address
5200 Anthony Wayne Dr
City
State
Zip
48202-3945
Phone Number
313-577-5041
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704222396 (Michigan)
Definition
Definition to come...
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