Kathleen T. Moen
Individual provider Active NPI Pediatric Registered Nurse · Bow, NH
NPI 1619798550 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1619798550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 075986-21 (NH)
- Practice address
- 86 Robinson Rd
Bow, NH 03304-3820 - Phone
- (603) 491-7468
- NPI assigned
- Oct 23, 2024
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075986-21 | NH | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 075986-21 | NH | Yes |
Addresses
Primary practice location
86 Robinson Rd
Bow, NH 03304-3820
Mailing address
86 Robinson Rd
Bow, NH 03304-3820
Phone (603) 491-7468
Other providers in Bow, NH
- Long Term Healing, PLLC
- Jeff Mahadeen
- Mark Hamilton McLeod
- Elizabeth A. Meadow
- Stacy Ann Miller
- Muscular Wellness Institute LLC
- National Seating & Mobility, Inc.
- Nourished Nutrition Counseling LLC
- Kate O'Neil
- Optometry Onsite New England PLLC
All providers in Bow, NH · Pediatric Registered Nurse in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. 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.