Nicole T Moulder
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
743 Spring St Ne
Gainesville
, Georgia 30501-3715
Nicole T Moulder
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
743 Spring St Ne
Gainesville
, Georgia 30501-3715
(770) 219-8420
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Nicole T Moulder
- Po Box 742616
- Atlanta, GA
- Zip : 30374-2616
- Phone : (770) 219-8420
Second Address
- Nicole T Moulder
- 743 Spring St Ne
- Gainesville, GA
- Zip : 30501-3715
- Fax : (770) 219-3209
- Phone : (770) 219-3202
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | RN203629 | GA |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN203629 | GA |
National Provider Identifier
| NPI | 1467896274 |
|---|---|
| Provider Name | Nicole T Moulder |
| First Address | Atlanta, GA 30374-2616 |
| Second Address | Gainesville, GA 30501-3715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2013 |
| Last Update Date | 26/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.