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

Michael Moore

Individual provider Registered Nurse · NPI 1619635117

Michael Moore is a Registered Nurse in Medina, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3593 Medina Rd # 181
Medina, OH 44256-8182
Phone: (330) 536-3746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0030981 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 478286 (OH)

Record details

NPI number1619635117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESApril 8, 2022
Certification dateMarch 14, 2022
Mailing address3220 S Locust St, Denver, CO 80222-7410

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