Cynthia T. Moffitt, NP

Individual provider Active NPI Nurse Practitioner · Wakefield, RI

NPI 1376583138 · NPPES record last updated Jul 16, 2007

Key facts

NPI
1376583138
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
NPP25514 (RI)
Practice address
100 Kenyon Ave
Wakefield, RI 02879-4216
Phone
(401) 782-8000
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Physical Therapy Past Accepting new patients
University of Rhode Island Past Accepting new patients
State of Rhode Island Past Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Nurse Practitioner Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP25514 RI Yes

Addresses

Primary practice location

100 Kenyon Ave
Wakefield, RI 02879-4216

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300

Other providers in Wakefield, RI

All providers in Wakefield, RI · Nurse Practitioner in Rhode Island

Sources for this page

Verify at the official NPI Registry.