Moore, Gloria L
Moore, Gloria L is an individual health care provider with primary practice located at 2601 Electric Ave , Port Huron MI 48060-6587. She recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Nursing Service Providers / Ostomy Care, Allopathic & Osteopathic Physicians / Sleep Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Gloria L can be contacted via phone (810) 216-1500.Contact Information
Primary practice address
2601 Electric Ave
Port Huron MI 48060-6587
Phone: (810) 216-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Wound Care | 163WW0000X | 4704263386 | Michigan |
| Nursing Service Providers / Ostomy Care | 163WX1500X | 4704263386 | Michigan |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 4704301246 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 4704263386 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704301246NSA220SA | Michigan |
Profile Details
| NPI number | 1073235859 |
|---|---|
| LBN Legal business name | Moore, Gloria L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2022 |
| Last updated | May 21st, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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