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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANJELICA MOORE, MD FAMILY PRACTICE

Active Sole Proprietor

DR. ANJELICA MOORE, MD FAMILY PRACTICE is a Prescribing Psychologist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1568200541 is currently active in the NPPES registry. Verify at CMS.

Prescribing Psychologist · GRAND RAPIDS, MI

Registration Details

NPI Number
1568200541
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2024 (2.0972718174884 yrs)
Last Updated
Jul 16, 2024
Sole Proprietor
Yes

Practice Information

Address
245 CHERRY ST SE STE 100
GRAND RAPIDS, MI, 495034607
Browse MI providers · Browse ZIP 49503
Phone
6166853200
Primary Specialty
Prescribing Psychologist
103TP0016X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.