# GROWING CHILD PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801287057
- **Authorized official:** MONICA MOSKO (NURSE PRACTITIONER)
- **Authorized official phone:** (419) 779-1896

## Contact information

- **Practice address:** 116 E HORTON ST, ZEBULON, NC 27597-2820
- **Practice address phone:** (919) 269-2885
- **Practice address fax:** (919) 488-1718
- **Mailing address:** 260 HORIZON DR, RALEIGH, NC 27615-4922
- **Mailing address phone:** (919) 488-0015
- **Mailing address fax:** (919) 277-0066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 5007449 | NC | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015