Individual provider · Type 1 NPI

Tracie Moulton, NP

Pediatric Nurse Practitioner · Forestdale, MA

NPI number 1992043897 Active

Practice location

55 Route 130
Forestdale, MA 02644-1402

Fax (508) 477-0297

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2299689 (MA)

Pediatric Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1992043897

Tracie Moulton, NP's National Provider Identifier is 1992043897, issued on Jan 28, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Forestdale, MA. The record was last updated on Jun 12, 2026.