Individual provider · Type 1 NPI
Shannon Miller Moulton, APRN
Nurse Practitioner · Tampa, FL
Practice location
14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Fax (813) 929-5465
Mailing address
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Other practice locations
- 17809 Green Willow Dr, Tampa, FL 33647-2242 · (813) 446-5780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11031067 (FL) |
| Acute Care Nurse Practitioner | 363LA2100X | APRN11031067 (FL) |
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 1265296925
Shannon Miller Moulton, APRN's National Provider Identifier is 1265296925, issued on Feb 12, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on Aug 18, 2026.