Moulder, Nicole T

Moulder, Nicole T is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Moulder, Nicole T can be contacted via phone (770) 219-3202.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 219-3202
Fax: (770) 219-3209
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X RN203629 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN203629 Georgia

Profile Details

NPI number 1467896274
LBN Legal business name Moulder, Nicole T
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2013
Last updated Oct 26th, 2020 - about 4 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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