IndividualActive
Carolina Moose, NP
NPI 1336963453 · Critical Care Neonatal Nurse Practitioner · New York, NY
Provider details
- NPI number
- 1336963453
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 350596 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3959 Broadway
New York, NY 10032-1559
Phone: (212) 342-8600
Approximate (ZIP-level) locationGet directions
Mailing address
9411 34th Rd Apt 6g
Jackson Heights, NY 11372-6009
Registry dates
- Enumerated
- 2024-11-14
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.