IndividualActive
Angela Moore, MSN, FNP-C, PMHNP-BC
NPI 1861155178 · Psychiatric/Mental Health Nurse Practitioner · Marquette, MI
Provider details
- NPI number
- 1861155178
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, FNP-C, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704290287 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
850 W Baraga Ave
Marquette, MI 49855-4550
Phone: (906) 449-1600
Approximate (ZIP-level) locationGet directions
Mailing address
1301 Ryan Ave Apt 4
Marquette, MI 49855-1281
Registry dates
- Enumerated
- 2021-10-14
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.