Moulton, Karen Agnes

Moulton, Karen Agnes is an individual health care provider with primary practice located at 1 Harpst St , Arcata CA 95521-8222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moulton, Karen Agnes can be contacted via phone (707) 826-5060.

Contact Information

Primary practice address
1 Harpst St Arcata CA 95521-8222
Fax: (707) 826-5042
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 257756 California

Profile Details

NPI number 1619988227
LBN Legal business name Moulton, Karen Agnes
Credentials FNP MASTER HLTH SVCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619988227 NPPES
California Other 671 NP FURNISHING # BRN
California Other 008228322 NP FURNISHING # BRN
California Other 09224372 NP FURNISHING # BRN

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