NPI 1487465324
Destiney M Moore
Practice location
- Address
- 972 33rd St SE, Grand Rapids, MI 49508-2435
- Phone
- (646) 775-8413
- Mailing address
- 763 5th St NW # 2, Grand Rapids, MI 49504-5159
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1487465324
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Jan 2025
- Record last updated
- 20 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.