CAROLYN M MOFFA FNP NPI 1134122559

NPI Information

NPI: 1134122559
Provider Name: CAROLYN M MOFFA, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1 CENTURIAN DR
STE 200
NEWARK, DE
ZIP 19713
Phone: (302) 366-8600
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Carolyn M Moffa, FNP is a family nurse practitioner in Newark, DE. Carolyn M Moffa, FNP NPI is 1134122559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CENTURIAN DR
STE 200
NEWARK, DE
ZIP 19713-137
Phone: (302) 366-8600
Fax: (302) 366-5646

The enumeration date for this NPI number is 5/31/2005 and was last updated on 11/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	LG-0000147	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0001118042	MEDICAID	DELAWARE
2	007714D12	MEDICARE ID-TYPE UNSPECIFIED	DELAWARE
3	140323ZA7A	MEDICARE PIN	DELAWARE
4	P35276	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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