Michael Joseph Moylan, APRN is a family nurse practitioner in Providence, RI with 7 years of experience. Michael Joseph Moylan, APRN NPI is 1407319163. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
148 W RIVER ST STE 3
PROVIDENCE, RI
ZIP 02904-615
Phone: (401) 421-6306
Fax: (401) 453-0330
The NPI 1407319163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 41D2150385 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/10/2019 and was last updated on 4/10/2019.