Moore, Gwendolyn Calla
Moore, Gwendolyn Calla is an individual health care provider with primary practice located at 148 East Ave Ste 3G , Norwalk CT 06851-5727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moore, Gwendolyn Calla can be contacted via phone (203) 838-4034.Contact Information
Primary practice address
148 East Ave Ste 3G
Norwalk CT 06851-5727
Phone: (203) 838-4034
Fax: (203) 853-6361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 382340 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 10129 | Connecticut |
Profile Details
| NPI number | 1114267572 |
|---|---|
| LBN Legal business name | Moore, Gwendolyn Calla |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2013 |
| Last updated | Jun 7th, 2024 - about last year |
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.
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