Individual provider · Type 1 NPI

Ann Michelle Moulton, FNP

Family Nurse Practitioner · Charlotte, NC

NPI number 1104803998 Active

Practice location

2015 Randolph Rd, Suite 208
Charlotte, NC 28207-1128

Mailing address

PO Box 497
Huntersville, NC 28070-0497

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201144 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1104803998

Ann Michelle Moulton, FNP's National Provider Identifier is 1104803998, issued on Dec 22, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 4, 2012.