Suzanne Moran

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703084195 Issued in MI

Practice address

8196 Loon LN
Grand Blanc, MI 48439-7255

Phone

(810) 516-5996

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1003316613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8196 LOON LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 LOON LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397255",
            "telephone_number": "810-516-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703084195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendrick Lamar Moore
• Lianne Elizabeth Moore, D.O.
• Peggy Moore II, NURSE PRACTIONER
• Alicia Morales, DO
• Javier Morales, DO
• Ana Moraresco, MD
• James F Morath, DDS
• Daniel Morey, LPC
• Mary Moritz, LMSW
• Mark W Morningstar II, D.C.

• Licensed Practical Nurse in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.