Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justine Nica Moriarty, IDHS

Individual provider Independent Duty Medical Technicians · NPI 1811668411

Justine Nica Moriarty, IDHS is an Independent Duty Medical Technicians in Grand Haven, Michigan. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

650 S Harbor Dr
Grand Haven, MI 49417-1742
Phone: (616) 850-2520
Fax: (616) 850-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1811668411
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDHS
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021