Individual provider · Type 1 NPI

Nicole D. Moody, NP

Nurse Practitioner · Lancaster, CA

NPI number 1073746343 Active

Practice location

822 E Avenue K
Lancaster, CA 93535-4766

Mailing address

25330 Silver Aspen Way Apt 1221
Valencia, CA 91381-0731

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XNP95035078 (CA)
Nurse Practitioner Primary 363L00000XNP95035078 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073746343

Nicole D. Moody, NP's National Provider Identifier is 1073746343, issued on Sep 2, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lancaster, CA. The record was last updated on Aug 11, 2025.