MICHAEL JOSEPH MOYLAN JR.


Address: 148 W River St Ste 3, Providence, RI 02904-2615
Phone: 4014216306

MICHAEL JOSEPH MOYLAN JR. (NPI# 1407319163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407319163
Entity Type Individual
Full Name MICHAEL JOSEPH MOYLAN JR.
Credential APRN
Practice Address 148 W River St Ste 3
Providence
RI 02904-2615
Mailing Address 33 Staniford St Fl 2
Providence
RI 02905-3105
Practice Telephone 4014216306
Practice Fax Number 4014530330
Mailing Telephone 4014218800
Mailing Fax Number 4014212492
Enumeration Date 2019-04-10
Last Update Date 2019-04-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN02009 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 148 W RIVER ST STE 3
City PROVIDENCE
State RI
Zip Code 02904-2615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194952929 Jason Ferreira Internal Medicine 148 W River St Ste 3, Providence, RI 02904-2615 2009-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144792383 Lifespan Pharmacy LLC Durable Medical Equipment & Medical Supplies 180 Corliss Street, Suite A, Providence, RI 02904 2018-12-28
1780168229 Beth M. Kalunian Social Worker 480 Charles Street, Providence, RI 02904 2018-09-20
1588161608 Michael P. Johnson, Md, Inc Internal Medicine 148 W River St Ste 22b, Providence, RI 02904 2018-04-06
1780045948 Fred Saccoccio Pharmacist 15 Smithfield Road, No Providence, RI 02904 2016-03-16
1699148999 Latin Adult Day Health Care Center Clinic/Center 665 Charles Street, Providence, RI 02904 2015-11-09
1144639956 Dina P Toolin Occupational Therapist 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 2014-08-06
1801208798 Seth Clark Internal Medicine 200 Corliss St, Providence, RI 02904 2014-05-27
1134554645 Molly Elizabeth Smith Physical Therapist 1405 Douglas Ave, North Providence, RI 02904 2013-09-04
1336408723 Emad Awa Pediatrics 1 Randall Sq Ste 404, Providence, RI 02904 2012-05-07
1598036790 Joseph F. Osmanski, Od, Inc Optometrist 1971 Mineral Spring Avenue, N. Providence, RI 02904 2012-01-19
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154933984 Sarah Jane France Nurse Practitioner 1 Randall Sq Ste 409, Providence, RI 02904-7405 2020-08-22
1225664386 Monica A Harris Nurse Practitioner 1078 S 800 E, Providence, UT 84332-2400 2020-03-20
1669008728 Sean Andrew Rebello Nurse Practitioner 180 Corliss St Ste E, Providence, RI 02904-2602 2020-03-19
1902456270 Nelsy Robles Colon Nurse Practitioner 1 Randall Sq Ste 205, Providence, RI 02904-2773 2019-09-18
1518511021 Effiem Obasi Nurse Practitioner 143 Longwood Ave, Providence, RI 02908-1121 2019-08-01
1861056608 Temperance Taylor Nurse Practitioner 222 Dora St Apt 1, Providence, RI 02909-3824 2019-04-26
1790240141 Miriannys Rivas Nurse Practitioner 170 Rhodes St, Providence, RI 02903-4919 2019-02-08
1962970947 Wesley Irish Nurse Practitioner 21 Pekin St, Providence, RI 02908-3716 2018-11-07
1902317449 Ashley Lynn Wright Nurse Practitioner 120 Dudley St Ste 104, Providence, RI 02905-2431 2017-10-23
1699216226 Julie L'europa Nurse Practitioner 1085 North Main Street, Providence, RI 02904-7426 2017-03-15
Find all providers in PROVIDENCE

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City PROVIDENCE
Zip Code 02904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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