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

Tina Marie Moran, ACNP

Individual provider Registered Nurse · NPI 1407042930

Tina Marie Moran, ACNP is a Nurse Practitioner in Madison Heights, Michigan. Qualified in 2006, 20 years ago. Practices with Three Rivers Wound and Hyperbaric Center Professional Limited Liabil, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
20
Licensed in
CA, MI
In the registry since
2007
Specialties on file
5
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

See every abbreviation used in this directory →

Practice location Address checks out

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone: (248) 967-7000
Show map & directions

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

Additional practice locations (1)

  • 6121 N Thesta St, Fresno, CA 93710-8603 — (559) 439-7633

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704227573 (MI)
Registered Nurse Taxonomy 163W00000X · Licence RN750803 (CA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 4704227573 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence NP18939 (CA)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence NP18939 (CA)

Record details

NPI number1407042930
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2007
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Three Rivers Wound And Hyperbaric Center Professional Limited Liabil — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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