Active NPIIndividual provider

Laurie Moody-Tidcombe, APN

Nurse Practitioner in Egg Harbor Township, New Jersey

NPI Number1497941496
Practice location
2500 English Creek Ave, Suite 222, Egg Harbor Township, NJ 08234-5549
Fax
609-407-2364
Last updated
March 3, 2008

Laurie Moody-Tidcombe is a Nurse Practitioner based in Egg Harbor Township, NJ. Laurie Moody-Tidcombe practices in Egg Harbor Township, NJ and has the professional credentials of APN. The NPI Number for Laurie Moody-Tidcombe is 1497941496 and holds a License No. 26NJ00143100 (NJ). The current practice location address for Laurie Moody-Tidcombe is 2500 English Creek Ave, Suite 222, Egg Harbor Township, NJ 08234-5549 and can be reached out via phone at 609-407-2365 and via fax at 609-407-2364.

Provider Profile Details

NPI Number
1497941496
Provider Name
Laurie Moody-Tidcombe
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2500 English Creek Ave, Suite 222, Egg Harbor Township, NJ 08234-5549
Phone Number
609-407-2365
Fax Number
609-407-2364
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
September 24, 2007
Last Update Date
March 3, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 English Creek Ave
Suite 222
Egg Harbor Township, NJ 08234-5549
Zip
08234-5549
Phone Number
609-407-2365
Fax Number
609-407-2364
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
2500 English Creek Ave
Suite 222
Egg Harbor Township, NJ 08234-5549
City
Egg Harbor Township
State
NJ
Zip
08234-5549
Phone Number
609-407-2365
Fax Number
609-407-2364

License Information

License Number
26NJ00143100
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · 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 Laurie Moody-Tidcombe, APN?

The NPI number of Laurie Moody-Tidcombe, APN is 1497941496. It was assigned on September 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Laurie Moody-Tidcombe, APN?

Laurie Moody-Tidcombe, APN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ00143100.

Where does Laurie Moody-Tidcombe, APN practice?

The practice location is 2500 English Creek Ave, Suite 222, Egg Harbor Township, NJ 08234-5549. The office can be reached at 609-407-2365 (phone) or 609-407-2364 (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 1497941496 directly on the NPPES registry website.

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