Brian R Moylan, BSN, RN
Individual provider Active NPI Home Health Registered Nurse · Barrigada, GU
NPI 1174833099 · NPPES record last updated Oct 13, 2010
Key facts
- NPI
- 1174833099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- RX0524 (GU)
- Practice address
- 988 Army Dr.
Ste. 4
Barrigada, GU 96913 - Phone
- (671) 475-4005
- Fax
- (671) 475-4006
- NPI assigned
- Oct 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RX0524 | GU | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RX0524 | GU | Yes |
Addresses
Primary practice location
988 Army Dr.
Ste. 4
Barrigada, GU 96913
Mailing address
P.O. Box 217787
GMF Barrigada, GU 96921
Phone (671) 475-4005
Other providers in Barrigada, GU
- Marianas Medical Response LLC
- Marianas Medical Services
- Garrett Masaoka
- MK Lotus Medical Group LLC
- MK Lotus Medical LLC
- Isabel Balbin Nieveras
- Johanna Siguenza
- David Zieber
All providers in Barrigada, GU · Home Health Registered Nurse in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.