Individual provider · Type 1 NPI

Kristen Mary Moll, CPNP

Pediatric Nurse Practitioner · New York, NY

NPI number 1972156586 Active

Practice location

3959 Broadway
New York, NY 10032-1559

Mailing address

1100 Maxwell Ln Unit 339
Hoboken, NJ 07030-6892

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383094 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1972156586

Kristen Mary Moll, CPNP's National Provider Identifier is 1972156586, issued on Jul 23, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Apr 16, 2026.