IndividualActive
Alyssia Moore, PA
NPI 1679029458 · Medical Physician Assistant · Huntington Woods, MI
Provider details
- NPI number
- 1679029458
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 5601007869 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
26657 Woodward Ave Ste 200
Huntington Woods, MI 48070-1304
Phone: (248) 957-7999
Approximate (ZIP-level) locationGet directions
Mailing address
26657 Woodward Ave Ste 200
Huntington Woods, MI 48070-1304
Registry dates
- Enumerated
- 2016-08-31
- Last updated
- 2017-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.