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

LARAINE YAKOWICH MOODY, NP

Active

Pediatric Nurse Practitioner · DETROIT, MI

Registration Details

NPI Number
1912937301
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2006 (19.801567667386 yrs)
Last Updated
Jan 17, 2017
Licenses
4704110337 (MI)
4704110337 (MI)

Practice Information

Address
3901 BEAUBIEN
CHILDREN'S HOSPITAL OF MI
DETROIT, MI, 48201
Browse MI providers · Browse ZIP 48201
Phone
3137455481
Fax
3139930894
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in DETROIT, MI

Name Credential NPI
MS. JONNIE M HAMILTON PNP 1386648897
KIMBERLY DAWN ROOD CPNP 1033106224
DEBORAH MCWILLIAMS RN, CPNP 1114918232
HEATHER L BARTLETT CPNP 1194762195
LINDSAY KAY DROUILLARD NP 1578501649
MRS. KATHLEEN F. WEBBER CPNP 1023047594
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.