Individual
CAROLYN M MOFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 CENTURIAN DR, STE 200, NEWARK, DE 19713-2137
(302) 366-8600
(302) 366-5646
Mailing address
4755 OGLETOWN STANTON ROAD SUITE 1E50, NEWARK, DE 19718
(302) 733-1507
(302) 733-4998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000147
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001118042
—
DE
Enumeration date
05/31/2005
Last updated
11/08/2016
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