IndividualActive
Taylor Moore, NNP-BC
NPI 1710705686 · Critical Care Neonatal Nurse Practitioner · Detroit, MI
Provider details
- NPI number
- 1710705686
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704325041 (MI)
Practice location
3901 Beaubien St Ste H
Detroit, MI 48201-2119
Phone: (313) 745-5437
Fax: (313) 966-6121
Mailing address
48 Crescent Dr
Pontiac, MI 48342-2511
Registry dates
- Enumerated
- 2024-09-30
- Last updated
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.