Active NPIIndividual provider

Dr. Quanza E Mooring, PHD, FNP-BC

Nurse Practitioner, Family in Detroit, Michigan

NPI Number1770281016
Practice location
11260 E Jefferson Ave, Detroit, MI 48214-3320
Fax
—
Last updated
September 9, 2026

Quanza Elise Mooring is a Nurse Practitioner, Family based in Detroit, MI. Quanza Elise Mooring practices in Detroit, MI and has the professional credentials of PHD, FNP-BC. The NPI Number for Quanza Elise Mooring is 1770281016 and holds a License No. 4025055 (KY). The current practice location address for Quanza Elise Mooring is 11260 E Jefferson Ave, Detroit, MI 48214-3320 and can be reached out via phone at 313-749-0148.

Provider Profile Details

NPI Number
1770281016
Provider Name
Quanza Elise Mooring
Credential
PHD, FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
11260 E Jefferson Ave, Detroit, MI 48214-3320
Phone Number
313-749-0148
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
February 16, 2023
Last Update Date
September 9, 2026
Certification Date
September 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11260 E Jefferson Ave
Detroit, MI 48214-3320
Zip
48214-3320
Phone Number
313-749-0148
Detroit, MI 48214Get directions →

Provider Business Mailing Address Details

Address
Po Box 740013
Atlanta, GA 30374-0013
City
Atlanta
State
GA
Zip
30374-0013
Phone Number
833-804-1695
Fax Number
312-929-0373

License Information

License Number (1)
4025055
License State (1)
KY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
APRN.CNP.0037108
License State (2)
OH
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
26NJ15134500
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
1110862
License State (4)
TX
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (5)
36864
License State (5)
TN
Taxonomy (5)
Nurse Practitioner, Family · 363LF0000X
License Number (6)
356769
License State (6)
NY
Taxonomy (6)
Nurse Practitioner, Family · 363LF0000X
License Number (7)
0024190959
License State (7)
VA
Taxonomy (7)
Nurse Practitioner, Family · 363LF0000X
License Number (8)
29416A
License State (8)
SC
Taxonomy (8)
Nurse Practitioner, Family · 363LF0000X
License Number (9)
APRN04273
License State (9)
RI
Taxonomy (9)
Nurse Practitioner, Family · 363LF0000X
License Number (10)
5020824
License State (10)
NC
Taxonomy (10)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Quanza E Mooring, PHD, FNP-BC?

The NPI number of Dr. Quanza E Mooring, PHD, FNP-BC is 1770281016. It was assigned on February 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Quanza E Mooring, PHD, FNP-BC?

Dr. Quanza E Mooring, PHD, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in KY under license number 4025055.

Where does Dr. Quanza E Mooring, PHD, FNP-BC practice?

The practice location is 11260 E Jefferson Ave, Detroit, MI 48214-3320. The office can be reached at 313-749-0148 (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 1770281016 directly on the NPPES registry website.

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