NICOLE ALEXANDRA MOORE APRN NPI 1801503404

NPI Information

  • NPI: 1801503404
  • Provider Name: NICOLE ALEXANDRA MOORE, APRN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 246 PLEASANT ST BLDG WEST2ND
    CONCORD, NH
    ZIP 03301
  • Phone: (603) 224-4003

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NPI Details

Nicole Alexandra Moore, APRN is a gerontology nurse practitioner in Concord, NH. Nicole Alexandra Moore, APRN NPI is 1801503404. 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:

246 PLEASANT ST BLDG WEST2ND
CONCORD, NH
ZIP 03301-548
Phone: (603) 224-4003
Fax: (603) 227-7526

The NPI 1801503404 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 enumeration date for this NPI number is 11/2/2022 and was last updated on 8/12/2024.

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
1163W00000XRegistered Nurse077761-21NEW HAMPSHIRENo
2363LG0600XNurse PractitionerGerontology077761-23NEW HAMPSHIREYes

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: 11/21/2025

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