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

Liza Moore

Individual provider Nurse Practitioner · NPI 1669973079

Liza Moore is a Nurse Practitioner in Rochester Hills, Michigan. Qualified in 2017, 9 years ago. Practices with Ear Nose and Throat Consultants PC, a 29-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

1055 S Blvd E Ste 100
Rochester Hills, MI 48307-5465
Phone: (248) 844-2936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704291236 (MI)

Record details

NPI number1669973079
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ear Nose And Throat Consultants Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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