Search › Georgia › 363LA2100X
Nicole Moulder, ACNP
NPI 1467896274 · on the registry since 2013
Practice
- Address
- 743 Spring St Ne
Gainesville, GA 30501 - Phone
- (770) 219-3202
- Fax
- (770) 219-3209
- Organisation at this address
- Northeast Georgia Medical Center Inc
Northeast Georgia Medical Center, Inc.
Northeast Georgia Medical Center, Inc.
Northeast Georgia Medical Center, Inc.
Northeast Georgia Physicians Group IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 747
Additional practice sites
- 743 Spring St Ne, Gainesville, GA
- 743 Spring St Ne, Gainesville, GA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LC0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia