Most Relevant Information
Provider Data
| NPI Number: | 1003407784 |
| Provider Name: | CASSANDRA MOORE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704301344 |
Most Important Dates
| Enumeration Date: | 01/27/2021 |
| Last Updated: | 01/27/2021 |
Provider Practice Location
300 E WARWICK DR
ALMA
MI
488011014
Practice Location Phone/Fax
| Phone: | 9894631101 |
| Fax: |
Provider Mailing Location
4000 WELLNESS DR
MIDLAND
MI
486702000
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |