Individual provider · Type 1 NPI

Nicholas Andrew Moore

Student in an Organized Health Care Education/Training Program · Wilmington, NC

NPI number 1831992924 Active

Practice location

2131 S 17th St
Wilmington, NC 28401-7407

Call (910) 662-9300 Map

Fax (910) 662-9301

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice locations

  • 1071 Gables Dr Apt 304, Forest, VA 24551-4783 · (952) 288-5124

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRTL26-0624 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831992924

Nicholas Andrew Moore's National Provider Identifier is 1831992924, issued on Apr 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilmington, NC. The record was last updated on Jul 9, 2026.