Moore, Katherine Katen

Moore, Katherine Katen is an individual health care provider with primary practice located at 36 Madison Ave Drew University Health Service, Madison NJ 07940-1434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Moore, Katherine Katen can be contacted via phone (973) 408-3414.

Contact Information

Primary practice address
36 Madison Ave Drew University Health Service Madison NJ 07940-1434
Phone: (973) 408-3414
Fax: (973) 408-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NN09352500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 305375 New York

Profile Details

NPI number 1255394995
LBN Legal business name Moore, Katherine Katen
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Dec 3rd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255394995 NPPES
New Jersey MEDICAID 0224766

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