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General NPI Number Information
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NPI Number | 1770281016
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Entity Type | Individual
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Provider Name | QUANZA ELISE MOORING PHD, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 11260 E JEFFERSON AVE
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City | DETROIT
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State | MI
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Zip | 48214-3320
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Country | US
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Telephone | 313-749-0148
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746079
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City | ATLANTA
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State | GA
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Zip | 30374-6079
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Country | US
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Telephone | 281-707-7362
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN04273
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4025055
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5020824
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 356769
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024190959
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0037108
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15134500
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 36864
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License Number State | TN
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1110862
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License Number State | TX
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