Individual provider · Type 1 NPI
Gwendolyn Calla Moore, CPNP
Pediatric Nurse Practitioner · Norwalk, CT
NPI number
1114267572
Active
Practice location
148 East Ave Ste 3G
Norwalk, CT 06851-5727
Fax (203) 853-6361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382340 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 10129 (CT) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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- Lauren Horowitz, NPPediatric Nurse Practitioner Norwalk, CT NPI 1356003719
- Lynn M. Nussbaum, CPNPPediatric Nurse Practitioner Norwalk, CT NPI 1366726432
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- Jessica Elizabeth Finck, APRNPediatric Nurse Practitioner Norwalk, CT NPI 1427487347
About NPI 1114267572
Gwendolyn Calla Moore, CPNP's National Provider Identifier is 1114267572, issued on Feb 22, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Norwalk, CT. The record was last updated on Jun 7, 2024.