Search › Michigan › 363LA2100X
Tina Moran, ACNP
NPI 1407042930 · on the registry since 2007
Practice
- Address
- 27351 Dequindre Rd
Madison Heights, MI 48071 - Phone
- (248) 967-7000
- Organisation at this address
- Tranmed Pc
St. John Hospital
St John Oakland Hospital
St. John Oakland Hospital
Oakmont Behavioral Health, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 105
Additional practice sites
- 6121 N Thesta St, Fresno, CA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
163WG0000X
363L00000X
363LC0200X - Licence states on file
- CA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan