Suzanne Moran
Licensed Practical Nurse in Grand Blanc, MI. Individual provider (NPI-1).
NPI number1003316613
StatusActive
Last updated in NPPESFeb 20, 2018
Details
- NPI
- 1003316613
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Moran
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2018
- Last updated
- Feb 20, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703084195 | MI | Yes |
Practice location
8196 Loon LnGrand Blanc, MI 48439-7255
Phone 810-516-5996
Mailing address
8196 Loon LnGrand Blanc, MI 48439-7255
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Licensed Practical Nurse providers in Grand Blanc · All 2,228 providers in Grand Blanc
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