MEDICARE: SUZANNE MORAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	4703084195	MI

General Provider Information

NPI Number	:	1003316613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE MORAN

Provider Business Mailing Address
First Line	:	8196 LOON LN
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-7255
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8196 LOON LN
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-7255
Country	:	US
Telephone Number	:	810-516-5996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	02/20/2018

Similar Medicare Providers

1427077841 — DR. SUSAN MARIE LOCKE M.D.
Practice Location Address:

7255 W GRAND AVE
ELMWOOD PARK, IL
60707-2028

Practice Phone: 708-327-1650
Practice Fax:

1447460910 — JAMELIA ENIECE ABRAMS DPM
Practice Location Address:

2776 BAY SHORE LN
GRAND PRAIRIE, TX
75054-7255

Practice Phone: 817-539-0588
Practice Fax:

1033367669 — COMPASSIONATE FOOT CARE CLINIC, PA
Practice Location Address:

2776 BAY SHORE LN
GRAND PRAIRIE, TX
75054-7255

Practice Phone: 817-948-3576
Practice Fax:

1487895801 — DEMOREST CONSUTANTS LLC
Practice Location Address:

7255 W GRAND AVE
ELMWOOD PARK, IL
60707-2028

Practice Phone: 440-279-0599
Practice Fax: 440-279-0593

1346179140 — RAQUEL BLAKELY
Practice Location Address:

6624 RUSTIC RIDGE TRL
GRAND BLANC, MI
48439-4955

Practice Phone: 810-652-8288
Practice Fax:

1154250959 — RHONDA HODGES
Practice Location Address:

6624 RUSTIC RIDGE TRL
GRAND BLANC, MI
48439-4955

Practice Phone: 810-652-8288
Practice Fax:

Directions to “ SUZANNE MORAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.