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

Mrs. Tonya Maretta Moss

Individual provider Women's Health Nurse Practitioner · NPI 1700189636

Mrs. Tonya Maretta Moss is a Nurse Practitioner in Redford, Michigan. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2010

Practice location Address checks out

25712 Grand River Ave
Redford, MI 48240-1431
Phone: (313) 286-3031
Fax: (313) 286-3135
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 4704204426 (MI)

Record details

NPI number1700189636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 15, 2010
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare