Moore, Angela Victoria

Moore, Angela Victoria is an individual health care provider with primary practice located at 850 W Baraga Ave , Marquette MI 49855-4550. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Moore, Angela Victoria can be contacted via phone (906) 449-1600.

Contact Information

Primary practice address
850 W Baraga Ave Marquette MI 49855-4550
Phone: (906) 449-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704290287 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704290287 Michigan

Profile Details

NPI number 1861155178
LBN Legal business name Moore, Angela Victoria
Credentials MSN, FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2021
Last updated Nov 18th, 2024 - about 2 years 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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