(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003539388
Provider Name: MARIAH K MOORE
Entity Type: Individual
Taxonomy Code: 363LF0000X
Specialty: Nurse Practitioner
License Number: 4704311259
Most Important Dates
Enumeration Date: 09/22/2022
Last Updated: 11/20/2023
Provider Practice Location
815 N CLARE AVE
HARRISON
MI
486258176
Practice Location Phone/Fax
Phone: 9895394434
Fax:
Provider Mailing Location
4000 WELLNESS DR
MIDLAND
MI
486702000
Provider Mailing Phone/Fax
Phone: 9898393000
Fax: