Active NPIIndividual provider

Elizabeth M Moran, CPNP-PC

Nurse Practitioner, Pediatrics in Dorchester, Massachusetts

NPI Number1205494630
Practice location
637 Washington St, Dorchester, MA 02124-3510
Fax
617-288-7898
Last updated
November 17, 2023

Elizabeth M Moran is a Nurse Practitioner, Pediatrics based in Dorchester, MA. Elizabeth M Moran practices in Dorchester, MA and has the professional credentials of CPNP-PC. The NPI Number for Elizabeth M Moran is 1205494630 and holds a License No. RN2326091 (MA). The current practice location address for Elizabeth M Moran is 637 Washington St, Dorchester, MA 02124-3510 and can be reached out via phone at 617-825-9660 and via fax at 617-288-7898.

Provider Profile Details

NPI Number
1205494630
Provider Name
Elizabeth M Moran
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
637 Washington St, Dorchester, MA 02124-3510
Phone Number
617-825-9660
Fax Number
617-288-7898
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2019
Last Update Date
November 17, 2023
Certification Date
November 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
637 Washington St
Dorchester, MA 02124-3510
Zip
02124-3510
Phone Number
617-825-9660
Fax Number
617-288-7898
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
637 Washington St
Dorchester, MA 02124-3510
City
Dorchester
State
MA
Zip
02124-3510
Phone Number
617-825-9660
Fax Number
617-288-7898

License Information

License Number
RN2326091
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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 Elizabeth M Moran, CPNP-PC?

The NPI number of Elizabeth M Moran, CPNP-PC is 1205494630. It was assigned on May 31, 2019 and is currently active in the NPPES registry.

What is the specialty of Elizabeth M Moran, CPNP-PC?

Elizabeth M Moran, CPNP-PC is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN2326091.

Where does Elizabeth M Moran, CPNP-PC practice?

The practice location is 637 Washington St, Dorchester, MA 02124-3510. The office can be reached at 617-825-9660 (phone) or 617-288-7898 (fax).

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 1205494630 directly on the NPPES registry website.

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