Active NPIIndividual provider

Nina R Moore, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Wilmington, Delaware

NPI Number1144096769
Practice location
222 Philadelphia Pike, Wilmington, DE 19809-3166
Fax
—
Last updated
December 4, 2023

Nina Rae Moore is a Nurse Practitioner, Psych/Mental Health based in Wilmington, DE. Nina Rae Moore practices in Wilmington, DE and has the professional credentials of PMHNP-BC. The NPI Number for Nina Rae Moore is 1144096769 and holds a License No. 26NR16371200 (NJ). The current practice location address for Nina Rae Moore is 222 Philadelphia Pike, Wilmington, DE 19809-3166 and can be reached out via phone at 646-406-7042.

Provider Profile Details

NPI Number
1144096769
Provider Name
Nina Rae Moore
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
222 Philadelphia Pike, Wilmington, DE 19809-3166
Phone Number
646-406-7042
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2023
Last Update Date
December 4, 2023
Certification Date
December 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
222 Philadelphia Pike
Wilmington, DE 19809-3166
Zip
19809-3166
Phone Number
646-406-7042
Wilmington, DE 19809Get directions →

Provider Business Mailing Address Details

Address
Po Box 3034
Cherry Hill, NJ 08034-0274
City
Cherry Hill
State
NJ
Zip
08034-0274
Phone Number
646-406-7042

License Information

License Number (1)
26NR16371200
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
L8-0010539
License State (2)
DE
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nina R Moore, PMHNP-BC?

The NPI number of Nina R Moore, PMHNP-BC is 1144096769. It was assigned on November 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Nina R Moore, PMHNP-BC?

Nina R Moore, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NR16371200.

Where does Nina R Moore, PMHNP-BC practice?

The practice location is 222 Philadelphia Pike, Wilmington, DE 19809-3166. The office can be reached at 646-406-7042 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144096769 directly on the NPPES registry website.

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