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

Rebecca Ruth Moore

Individual provider Registered Nurse · NPI 1043610033

Rebecca Ruth Moore is a Registered Nurse in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
Specialties on file
2

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 876-1305
Show map & directions

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

Additional practice locations (1)

  • 2873 Scenic Ct, Lake Orion, MI 48360-2370 — (810) 358-7750

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 4704301129 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4703110355 (MI)

Record details

NPI number1043610033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2014
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

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