IndividualActive
Anjelica Moore, MD FAMILY PRACTICE
NPI 1568200541 · Prescribing (Medical) Psychologist · Grand Rapids, MI
Provider details
- NPI number
- 1568200541
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- MD FAMILY PRACTICE
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
245 Cherry St Se Ste 100
Grand Rapids, MI 49503-4607
Phone: (616) 685-3200
Approximate (ZIP-level) locationGet directions
Mailing address
245 Cherry St Se Ste 100
Grand Rapids, MI 49503-4607
Registry dates
- Enumerated
- 2024-07-16
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.