Doctor Name: | CHRISTINE MOULTON |
NPI Number: | 1588643886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P |
License Number: | 035412 |
Business Practice Address: | 43 S Lubec Rd Lubec, ME - 046523620 |
Business Phone Number: | 2077335541 |
Business Fax Number: | 2077332127 |
Mailing Address: | 43 S Lubec Rd, LUBEC |
State: | ME |
Postal Code: | 046523620 |
Phone Number: | 2077335541 |
Fax Number: | 2077332127 |
NPI Enumeration Date: | 01/13/2006 |
NPI Last Update Date: | 12/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 035412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |