Individual provider · Type 1 NPI
Joanna Jill Moulton, PNP, RN
Pediatric Nurse Practitioner · New York, NY
NPI number
1093992034
Active
Practice location
1275 York Ave, 9th Floor Department Of Pediatrics
New York, NY 10065-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 541901 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381942 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1093992034
Joanna Jill Moulton, PNP, RN's National Provider Identifier is 1093992034, issued on Jan 22, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Jan 22, 2008.