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Contact Information

TINA M MORAN, ACNP
27351 DEQUINDRE RD
MADISON HEIGHTS, MI48071-3487
 Phone: 248-967-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

General Practice

163WG0000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TINA M MORAN · (Female)

NPI Number 1407042930
Status Active
Credentials ACNP
Entity Individual
Enumeration date 09/18/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # NP18939
  • CA License # RN750803
  • MI License # 4704227573
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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