Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Angelique Denise Moore, FNP-C, RN

Individual provider Registered Nurse · NPI 1477876019

Mrs. Angelique Denise Moore, FNP-C, RN is a Nurse Practitioner in Farmington Hills, Michigan. Qualified in 1994, 32 years ago. Practices with Keri Heart Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Licensed in
MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

29205 Glencastle Ct
Farmington Hills, MI 48336-1416
Phone: (248) 470-2120
Fax: (248) 470-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15801 W McNichols Rd, Detroit, MI 48235-3543 — (313) 272-8450

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704195802NSA17232 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704195802 (MI)

Record details

NPI number1477876019
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , RN
Sole proprietorYes
NPI enumeratedMarch 10, 2010
Last updated in NPPESJuly 21, 2022
Certification dateDecember 29, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Keri Heart Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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