Individual
MS. ANN MICHELLE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2015 RANDOLPH RD, SUITE 208, CHARLOTTE, NC 28207-1128
(704) 377-4009
Mailing address
PO BOX 497, HUNTERSVILLE, NC 28070-0497
(704) 377-4009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201144
NC
Other
Enumeration date
12/22/2005
Last updated
04/04/2012
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