Individual
KATELYN MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1103 CORTELYOU RD, BROOKLYN, NY 11218-5303
(718) 282-0170
Mailing address
120 HARVARD AVE E UNIT 403, SEATTLE, WA 98102-6043
(301) 442-1376
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382496
NY
Other
Enumeration date
11/19/2014
Last updated
10/03/2018
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