Individual
MICHAEL JOSEPH MOYLAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
148 W RIVER ST STE 3, PROVIDENCE, RI 02904-2615
(401) 421-6306
(401) 453-0330
Mailing address
33 STANIFORD ST FL 2, PROVIDENCE, RI 02905-3105
(401) 421-8800
(401) 421-2492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02009
RI
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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