Moffa, Carolyn M
Moffa, Carolyn M is an individual health care provider with primary practice located at 1 Centurian Dr Ste 200, Newark DE 19713-2137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moffa, Carolyn M can be contacted via phone (302) 366-8600.Contact Information
Primary practice address
1 Centurian Dr Ste 200
Newark DE 19713-2137
Phone: (302) 366-8600
Fax: (302) 366-5646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | LG-0000147 | Delaware |
Profile Details
| NPI number | 1134122559 |
|---|---|
| LBN Legal business name | Moffa, Carolyn M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Nov 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134122559 | NPPES |
| Delaware | MEDICAID | 0001118042 |
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