Moulton, Gianna

Moulton, Gianna is an individual health care provider with primary practice located at 560 Pierce St , Kingston PA 18704-5716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moulton, Gianna can be contacted via phone (570) 283-2161.

Contact Information

Primary practice address
560 Pierce St Kingston PA 18704-5716
Phone: (570) 283-2161
Fax: (570) 714-0670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA058829 Pennsylvania

Profile Details

NPI number 1609312677
LBN Legal business name Moulton, Gianna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2017
Last updated Sep 30th, 2019 - about 6 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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