Individual provider · Type 1 NPI
Nicole T. Moulder, ACNP
Acute Care Nurse Practitioner · Gainesville, GA
NPI number
1467896274
Active
Practice location
743 Spring St NE
Gainesville, GA 30501-3715
Fax (770) 219-3209
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Other practice locations
- 743 Spring St NE, Gainesville, GA 30501-3715 · (770) 219-9000
- 743 Spring St NE, Gainesville, GA 30501-3715 · (770) 219-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | RN203629 (GA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN203629 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1467896274
Nicole T. Moulder, ACNP's National Provider Identifier is 1467896274, issued on Apr 23, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Gainesville, GA. The record was last updated on Oct 26, 2020.