MRS. Moya Tara Talley, NP
NPI #1194172981 in New Boston, Michigan
Provider Information
- NPI Number
- 1194172981
- Entity Type
- Individual
- Name
- MRS. Moya Tara Talley, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- May 21, 2016
- Last Updated
- Aug 19, 2020
Practice Location
- Address
- 25140 AUSTIN DR
- City
- New Boston
- State
- Michigan
- ZIP Code
- 48164-8907
- Phone
- (313) 461-5780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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Organizations
| Provider Name | |
|---|---|
| Mtt Fnp LLC |
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