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Ms. Gwendolyn Calla Moore, CPNP
Nurse Practitioner in Norwalk, Connecticut
NPI 1114267572

Gwendolyn Calla Moore is a Nurse Practitioner based in Norwalk, CT. Gwendolyn Calla Moore practices in Norwalk, CT and has the professional credentials of CPNP. The NPI Number for Gwendolyn Calla Moore is 1114267572 and holds a License No. 382340 (Connecticut).

The current practice location address for Gwendolyn Calla Moore is 148 East Ave Ste 3G, Norwalk, CT and can be reached out via phone at 203-838-4034 and via fax at 203-853-6361. You can also correspond with Gwendolyn Calla Moore through the mailing address at 148 EAST AVE STE 3G, NORWALK, CT - 06851-5727 (mailing address contact number: 203-838-4034).

Location: 148 East Ave Ste 3G, Norwalk, CT, 06851-5727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114267572
Provider Name
Gwendolyn Calla Moore
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
148 East Ave Ste 3G, Norwalk, CT, 06851-5727
Phone Number
203-838-4034
Fax Number
203-853-6361
Provider Enumeration Date
02/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
148 East Ave Ste 3G
City
Norwalk
State
Connecticut
Zip
06851-5727
Phone Number
203-838-4034
Fax Number
203-853-6361
person
Provider Business Mailing Address Details
Address
148 East Ave Ste 3G
City
Norwalk
State
Connecticut
Zip
06851-5727
Phone Number
203-838-4034
Fax Number
203-853-6351
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
18499739 (Connecticut)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
382340 (New York)
Definition
Definition to come...
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