Individual provider Active NPI

Delilah Moulden, MSN, CRNP, FNP-C

  • Family Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1730572637
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R169409 Issued in MD
Practice address
2411 Crofton LN Ste 19B
Crofton, MD 21114-1341
Phone
(443) 332-2800
NPI assigned
Mar 17, 2015
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R169409 MD Primary
Registered Nurse 163W00000X R169409 MD

Addresses

Primary practice location

2411 Crofton LN Ste 19B
Crofton, MD 21114-1341

Mailing address

2411 Crofton LN Ste 19B
Crofton, MD 21114-1341
Phone (443) 332-2800

Other practice location 1

7711 Quarterfield Rd Ste A
Glen Burnie, MD 21061-4492
Phone (410) 761-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610000386 MD Practitioner - Nurse Practitioner 2769803261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R169409MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Primary Care Physicians, LLC CurrentSince Sep 21, 2020 Accepting new patients
Effective Integrative Healthcare, LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

1509 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-1600

1625 Crofton Ctr
Crofton, MD 21114
Phone (410) 451-3561

7711 Quarterfield Rd
Ste A
Glen Burnie, MD 21061
Phone (410) 761-5600

7580 Buckingham Blvd
Ste 220
Hanover, MD 21076
Phone (410) 729-5100

681 Old Mill Rd
Millersville, MD 21108
Phone (410) 729-2200

683 Old Mill Rd
Millersville, MD 21108
Phone (410) 530-3089

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1730572637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 19B",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141341",
            "telephone_number": "443-332-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 19B",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141341",
            "telephone_number": "443-332-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7711 Quarterfield Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614492",
            "country_code": "US",
            "telephone_number": "410-761-5600",
            "fax_number": "410-761-5734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULDEN",
        "first_name": "DELILAH",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R169409",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R169409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.