Active NPIIndividual provider

Lauren M Moody, FNPC

Nurse Practitioner, Family in Winterport, Maine

NPI Number1356902605
Practice location
775 N Main St, Winterport, ME 04496-3414
Fax
207-223-0975
Last updated
May 5, 2021

Lauren M Moody is a Nurse Practitioner, Family based in Winterport, ME. Lauren M Moody practices in Winterport, ME and has the professional credentials of FNPC. The NPI Number for Lauren M Moody is 1356902605 and holds a License No. CNP191085 (ME). The current practice location address for Lauren M Moody is 775 N Main St, Winterport, ME 04496-3414 and can be reached out via phone at 207-223-0965 and via fax at 207-223-0975.

Provider Profile Details

NPI Number
1356902605
Provider Name
Lauren M Moody
Credential
FNPC
Provider Entity Type
Individual
Gender
Female
Address
775 N Main St, Winterport, ME 04496-3414
Phone Number
207-223-0965
Fax Number
207-223-0975
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2019
Last Update Date
May 5, 2021
Certification Date
May 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
775 N Main St
Winterport, ME 04496-3414
State
Maine
Zip
04496-3414
Phone Number
207-223-0965
Fax Number
207-223-0975
Winterport, ME 04496Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-404-8200
Fax Number
207-947-0435

License Information

License Number
CNP191085
License State
ME
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Lauren M Moody, FNPC?

The NPI number of Lauren M Moody, FNPC is 1356902605. It was assigned on June 27, 2019 and is currently active in the NPPES registry.

What is the specialty of Lauren M Moody, FNPC?

Lauren M Moody, FNPC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP191085.

Where does Lauren M Moody, FNPC practice?

The practice location is 775 N Main St, Winterport, ME 04496-3414. The office can be reached at 207-223-0965 (phone) or 207-223-0975 (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 1356902605 directly on the NPPES registry website.

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