Active NPIIndividual provider

Ms. Katherine K Moore, ANP-BC

Nurse Practitioner, Adult Health in Madison, New Jersey

NPI Number1255394995
Practice location
36 Madison Ave, Drew University Health Service, Madison, NJ 07940-1434
Fax
973-408-3031
Last updated
December 3, 2010

Katherine Katen Moore is a Nurse Practitioner, Adult Health based in Madison, NJ. Katherine Katen Moore practices in Madison, NJ and has the professional credentials of ANP-BC. The NPI Number for Katherine Katen Moore is 1255394995 and holds a License No. 26NN09352500 (NJ). The current practice location address for Katherine Katen Moore is 36 Madison Ave, Drew University Health Service, Madison, NJ 07940-1434 and can be reached out via phone at 973-408-3414 and via fax at 973-408-3031.

Provider Profile Details

NPI Number
1255394995
Provider Name
Katherine Katen Moore
Credential
ANP-BC
Provider Entity Type
Individual
Gender
Female
Address
36 Madison Ave, Drew University Health Service, Madison, NJ 07940-1434
Phone Number
973-408-3414
Fax Number
973-408-3031
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2006
Last Update Date
December 3, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Madison Ave
Drew University Health Service
Madison, NJ 07940-1434
Zip
07940-1434
Phone Number
973-408-3414
Fax Number
973-408-3031
Madison, NJ 07940Get directions →

Provider Business Mailing Address Details

Address
36 Madison Ave
Drew University Health Service
Madison, NJ 07940-1434
City
Madison
State
NJ
Zip
07940-1434
Phone Number
973-408-3414
Fax Number
973-408-3031

License Information

License Number (1)
26NN09352500
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (2)
305375
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X

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 Ms. Katherine K Moore, ANP-BC?

The NPI number of Ms. Katherine K Moore, ANP-BC is 1255394995. It was assigned on April 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Katherine K Moore, ANP-BC?

Ms. Katherine K Moore, ANP-BC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NN09352500.

Where does Ms. Katherine K Moore, ANP-BC practice?

The practice location is 36 Madison Ave, Drew University Health Service, Madison, NJ 07940-1434. The office can be reached at 973-408-3414 (phone) or 973-408-3031 (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 1255394995 directly on the NPPES registry website.

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