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Contact Information

GLORIA L MOORE, FNP
18000 W 9 MILE RD STE 525
SOUTHFIELD, MI48075-4080
 Phone: 248-327-6196
 Fax: 877-311-5596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Ostomy Care

163WX1500X
 

Physical Therapy Assistant

225200000X
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Professional

101YP2500X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for GLORIA L MOORE · (Female)

NPI Number 1073235859
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/19/2022
Last updated 04/06/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704263386
  • MI License # 4704301246NSA220SA
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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