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

Mirjam Grace Moise

Individual provider Nurse Practitioner · NPI 1558960229

Mirjam Grace Moise is a Nurse Practitioner in North Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

650 NW 120th St
North Miami, FL 33168-2529
Phone: (305) 688-0811
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN2973312 (FL)

Record details

NPI number1558960229
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address650 Nw 120th St, North Miami, FL 33168-2529

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