Angela Victoria Moore, NP-C | |
1504 Sandpoint Rd, Munising, MI 49862-1406 | |
(906) 387-4220 | |
Not Available |
Full Name | Angela Victoria Moore |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1504 Sandpoint Rd, Munising, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861155178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704290287 (Michigan) | Primary |
Entity Name | Pathways |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487683546 PECOS PAC ID: 4284626391 Enrollment ID: O20040614000139 |
Entity Name | Superior Walk-in Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497806418 PECOS PAC ID: 6204837057 Enrollment ID: O20070123000220 |
Mailing Address | Practice Location Address |
---|---|
Angela Victoria Moore, NP-C 1301 Ryan Ave Apt 4, Marquette, MI 49855-1281 Ph: (586) 202-3763 | Angela Victoria Moore, NP-C 1504 Sandpoint Rd, Munising, MI 49862-1406 Ph: (906) 387-4220 |
Jessica Maria Walther, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N7930 Koski Rd, Munising, MI 49862 Phone: 517-375-1267 | |
Myrth Crystal Condon, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4110 Fax: 906-387-2825 | |
Emily Rose Prunick, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1504 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4220 Fax: 906-387-5449 | |
Dana Vix, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4338 | |
Mrs. Chelsea Teal Texter, N.P-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4338 Fax: 906-387-2825 | |
Karen Sue Freeborn, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1504 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4220 | |
Jan Hazel Prokosch, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4110 Fax: 906-387-3514 |