Christopher Ward Moody, CPNP
Nurse Practitioner, Pediatrics in Watertown, CT. Individual provider (NPI-1).
NPI number1477547511
StatusActive
Last updated in NPPESDec 11, 2012
Details
- NPI
- 1477547511
- Entity type
- Individual (NPI-1)
- Name
- Mr. Christopher Ward Moody
- Credential
- CPNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2005
- Last updated
- Dec 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 001457 | CT | Yes |
Other names
- Christopher Ward Moody (Professional Name)
Practice location
380 Main StWatertown, CT 06795-2260
Phone 860-274-8891 · Fax 860-274-8895
Mailing address
380 Main StWatertown, CT 06795-2260
Phone 860-274-8891 · Fax 860-274-8895
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